Individual
LEIGH SORENSEN BISHOP
Active
Individual
LEIGH SORENSEN BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00047997
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8481665
—
WA
01
—
G000362000
MEDICARE GROUP
WA
01
—
P00416777
RR MEDICARE ID
WA
Enumeration date
05/22/2007
Last updated
05/04/2010
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