Individual
MR. CLARENCE MARVIN BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SURGICAL ASSISTANT
Contact information
Practice address
5505 WRIGHTS ENDEAVOR DR, BOWIE, MD 20720-3383
(301) 805-2260
(301) 805-2260
Mailing address
5505 WRIGHTS ENDEAVOR DR, BOWIE, MD 20720-3383
(301) 805-2260
(301) 805-2260
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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