Individual
MR. TOMMIE L BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1533 LATOUCHE ST APT C, ANCHORAGE, AK 99501-5588
(907) 272-6377
(866) 496-4107
Mailing address
PO BOX 202056, ANCHORAGE, AK 99520-2056
(907) 223-6377
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
101017
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871195420
—
AK
Enumeration date
02/18/2021
Last updated
02/18/2021
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