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Individual

DR. THOMAS H BISHOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3700 S MAIN ST, BLACKSBURG, VA 24060-7017
(540) 951-4992
(540) 951-0302
Mailing address
2001 S MAIN ST, SUITE 1, BLACKSBURG, VA 24060-6678
(540) 951-4992
(540) 951-0302

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101238670
VA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
0101238670
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
54-1049791
FEDERAL TAX ID
VA
Enumeration date
02/28/2007
Last updated
08/17/2021
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