JENNIFER DIANE BISHOP

RIO RANCHO, NM
NPI1073777140
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: NM  MD2016-0573)
Additional Taxonomies208600000X Surgery
(Licence: CT  050450)
Enumeration Date2008-07-17
Last Update Date2016-10-19
Business Address
Dr. JENNIFER DIANE BISHOP MD
2400 UNSER BLVD NE 1ST FLOOR, 2ND TOWER
RIO RANCHO, NM 87124
Phone number: 505-559-6100
Mailing Address
Dr. JENNIFER DIANE BISHOP MD
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770