THADDEUS DWAYNE MITCHAM

EIELSON AFB, AK
NPI1497120760
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2015-12-11
Last Update Date2023-08-18
Business Address
MR. THADDEUS DWAYNE MITCHAM PHYSICIAN ASSISTANT
354 MEDICAL GROUP 2630 CENTRAL AVE
EIELSON AFB, AK 99702-2301
Phone number: 907-377-6127
Mailing Address
MR. THADDEUS DWAYNE MITCHAM PHYSICIAN ASSISTANT
354 MEDICAL GROUP 2630 CENTRAL AVE
EIELSON AFB, AK 99702-2301
Phone number: 907-377-6127
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