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1134178403
LARRY BISHOP
BOISE, ID
NPI
1134178403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: ID M-3771)
Enumeration Date
2006-05-06
Last Update Date
2007-07-08
Business Address
-- LARRY BISHOP MD
305 E JEFFERSON ST SUITE 101
BOISE, ID 83712-6273
Phone number: 208-345-0715
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Mailing Address
-- LARRY BISHOP MD
305 E JEFFERSON ST
BOISE, ID 83712-6274
Phone number: 208-345-0715
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