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Individual

NINA BISHOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
901 4TH ST NW, WATERTOWN, SD 57201-1558
(605) 886-8471
Mailing address
901 4TH STREET NW, WATERTOWN, SD 57201
(605) 886-8471

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10552
SD
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1477973774
SD
Enumeration date
04/24/2014
Last updated
04/04/2022
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