Individual
JOSEPH BISHARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 595-7585
(719) 595-7982
Mailing address
908 POTTER DR, COLORADO SPRINGS, CO 80909-5438
(719) 360-5570
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
000593
CO
208M00000X
Hospitalist Physician
DR.0059807
CO
Other
Enumeration date
06/28/2016
Last updated
01/07/2022
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