Individual
DR. GAVIN BRETT BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1610 DRY CREEK DR, LONGMONT, CO 80503-6405
(303) 772-1600
(303) 772-9317
Mailing address
2500 E PROSPECT RD, FORT COLLINS, CO 80525-9718
(970) 493-0112
(970) 493-1794
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
222498
MA
207X00000X
Orthopaedic Surgery Physician
Primary
DR.0055997
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73770060
—
CO
Enumeration date
04/23/2008
Last updated
10/12/2022
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