MICHAEL DALAN BISHOP

PROVO, UT
NPI1851977862
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: UT  12931007-1205)
Enumeration Date2021-03-20
Last Update Date2022-10-27
Business Address
MICHAEL DALAN BISHOP MD
475 W 940 N
PROVO, UT 84604-3301
Phone number: 801-357-7940
Mailing Address
MICHAEL DALAN BISHOP MD
395 W COUGAR BLVD STE 205
PROVO, UT 84604-3328
Phone number: 801-357-1770