Organization
MOUNTAIN FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND O BISHOP MD (OWNER)
(606) 432-0191
Entity
Organization
Contact information
Practice address
419 TOWN MOUNTAIN RD, SUITE 206, PIKEVILLE, KY 41501-1631
(606) 432-0191
(606) 432-0111
Mailing address
419 TOWN MOUNTAIN RD, SUITE 206, PIKEVILLE, KY 41501-1631
(606) 432-0191
(606) 432-0111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40946
KY
Other
Enumeration date
05/22/2014
Last updated
05/22/2014
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