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Contact Information

MITCHELL J RADIGAN, DO
4881 SUGAR MAPLE DR
WRIGHT-PATTERSON AFB, OH45433-5529
 Phone: 937-257-0837
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Aerospace Medicine

2083A0100X 84 Physician/Preventive Medicine
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for MITCHELL J RADIGAN · (Male)

NPI # 1972941169
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/10/2013
Last updated 05/15/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 006537
  • NV License # 2021
  • NV License # SL0956
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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