Organization
MARVIN E BISHOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN E BISHOP MD (PHYSICIAN)
(859) 745-2861
Entity
Organization
Contact information
Practice address
218 S MAPLE ST, WINCHESTER, KY 40391
(859) 745-2861
(859) 745-1978
Mailing address
218 S MAPLE ST, WINCHESTER, KY 40391
(859) 745-2861
(859) 745-1978
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65939746
—
KY
Enumeration date
01/25/2006
Last updated
09/08/2010
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