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Individual

DANIEL A BISHOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1203 US HWY 98, SUITE 1-C, DAPHNE, AL 36526
(251) 626-7778
(251) 626-7780
Mailing address
1203 US HWY 98, SUITE 1-C, DAPHNE, AL 36526
(251) 626-7778
(251) 626-7780

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PTH4325
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
515-30296
BCBS
AL
05
890013910
AL
Enumeration date
07/26/2006
Last updated
01/25/2012
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