Individual
DOUGLAS BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
23706 W LA CANADA BLVD, BUCKEYE, AZ 85396-6392
(623) 326-4260
Mailing address
23706 W LA CANADA BLVD, BUCKEYE, AZ 85396-6392
(623) 326-4260
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
256505
AZ
Other
Enumeration date
04/10/2021
Last updated
04/10/2021
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