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Individual

ROBERT G BISHOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
610 E 24TH ST, TISHOMINGO, OK 73460-3245
(580) 371-2343
(580) 371-3614
Mailing address
610 E 24TH ST, TISHOMINGO, OK 73460-3245
(580) 387-0509
(580) 218-8963

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
238755
OK
207Q00000X
Family Medicine Physician
Primary
C5638
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101628001
AR
Enumeration date
06/06/2006
Last updated
04/06/2026
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