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1407846850
JAY R BISHOP
ROSWELL, NM
NPI
1407846850
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: NM A-1577-10)
Additional Taxonomies
208800000X Urology
(Licence: WI 46011)
Enumeration Date
2005-10-26
Last Update Date
2023-11-21
Business Address
JAY R BISHOP D.O.
350 W COUNTRY CLUB RD SUITE#205
ROSWELL, NM 88201-5205
Phone number: 575-622-7593
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Mailing Address
JAY R BISHOP D.O.
350 W COUNTRY CLUB RD SUITE #205
ROSWELL, NM 88201-5205
Phone number: 575-622-7593
Copy
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