Individual
BRIAN S. BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
925 TOWN CENTRE DR, MEDFORD, OR 97504-6186
(541) 772-0102
Mailing address
925 TOWN CENTRE DR, MEDFORD, OR 97504-6186
(541) 772-0102
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
D7527
AZ
1223P0221X
Pediatric Dentistry
Primary
D9489
OR
Other
Enumeration date
06/03/2008
Last updated
06/14/2011
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