Individual
AUSTIN BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4271 GLENWAY AVE, DEER PARK, OH 45236-3631
(513) 310-9191
Mailing address
4271 GLENWAY AVE, DEER PARK, OH 45236-3631
(513) 310-9191
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0402261
—
OH
Enumeration date
06/09/2020
Last updated
06/09/2020
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