Individual provider · Type 1 NPI

Justin Tyler Mitcham

Other Technician · West Plains, MO

NPI number 1942977525 Active

Practice location

3411 Division Dr
West Plains, MO 65775-5789

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1942977525

Justin Tyler Mitcham's National Provider Identifier is 1942977525, issued on Aug 23, 2021. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in West Plains, MO. The record was last updated on Aug 23, 2021.