Individual
CHRISTIANNE BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 COFFEE ROAD, SUTTER GOULD MEDICAL FOUNDATION, MODESTO, CA 95355
(209) 524-1211
Mailing address
600 COFFEE ROAD, SUTTER GOULD MEDICAL FOUNDATION, MODESTO, CA 95355
(209) 521-6097
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A73675
CA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
A73675
CA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
A73675
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8313223
—
WA
Enumeration date
04/18/2007
Last updated
10/31/2011
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