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Individual

MICHAEL A BISHOP I

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
LYSTER ARMY HEALTH CLINIC, BLDG 301 ANDREWS AVE, FORT RUCKER, AL 36362
(334) 255-7986
Mailing address
LYSTER ARMY HEALTH CLINIC, BLDG 301 ANDREWS AVE, FORT RUCKER, AL 36362
(334) 255-7986

Taxonomy

Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
M500570
TX

Other

Enumeration date
10/16/2018
Last updated
10/16/2018
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