JAY R BISHOP D.O.
Individual Provider (NPI-1)
Active
Urology
Provider Information
- NPI Number
1407846850- Provider Type
- Individual Provider (NPI-1)
- Credentials
- D.O.
- Status
- Active
Contact & Location
- Address
- 350 W COUNTRY CLUB RD SUITE#205, ROSWELL, NM, 882015205
- Phone
- (575) 622-7593
- Fax
- (575) 622-5538
Specialties & Taxonomies
Urology
License: WI #46011
Urology
Primary License: NM #A-1577-10