Individual provider · Type 1 NPI

Clarence Marvin Bishop, SURGICAL ASSISTANT

Surgical Physician Assistant · Bowie, MD

NPI number 1912134792 Active

Practice location

5505 Wrights Endeavor Dr
Bowie, MD 20720-3383

Fax (301) 805-2260

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1912134792

Clarence Marvin Bishop, SURGICAL ASSISTANT's National Provider Identifier is 1912134792, issued on Jun 18, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bowie, MD. The record was last updated on Jun 18, 2009.