NPI 1073777140

Jennifer Diane Bishop, MD

Practitioner Surgery Physician Rio Rancho, NM

Practice location

Address: 2400 Unser Blvd NE 1st Floor, 2nd Tower, Rio Rancho, NM 87124
Phone: (505) 559-6100
Fax: (505) 462-8792
Mailing address: PO Box 26666 Phs Provider Enrollment, Albuquerque, NM 87125-6666

Registered specialties (2)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence MD2016-0573 (NM)

Other Surgery providers in New Mexico →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 050450 (CT)

Registry record

NPI: 1073777140
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jul 2008
Record last updated: 19 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.