Individual
ANDREW BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
286 BROADWAY AVE APT A, YOUNGSTOWN, OH 44504-1752
(330) 555-5555
Mailing address
286 BROADWAY AVE APT A, YOUNGSTOWN, OH 44504-1752
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/30/2022
Last updated
01/09/2023
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