Mr. Thaddeus Dwayne Mitcham, PHYSICIANASSISTANT
Mr. Thaddeus Dwayne Mitcham, PHYSICIANASSISTANT is a Physician Assistant in Andersen AFB, Guam. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address may be wrong
36TH Medical Group Unit 14010 Bldg 26012Andersen AFB, GU 96543-4003
Phone: (671) 366-4549
No coordinates on file. Search this address in Google Maps
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1497120760 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHYSICIANASSISTANT |
| Sole proprietor | No |
| NPI enumerated | December 11, 2015 |
| Last updated in NPPES | August 14, 2024 |
| Certification date | August 8, 2024 |
Other providers in Andersen AFB
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Amanda Jo Solven, PA-C
36TH Medical Group Unit 14010 Bldg 26012, Andersen AFB, GU 96543-4003 · (671) 366-9355