Whalio Doctors

NPI 1174693733

Bruce Grant Lyman Bishop, MD

Practitioner Dermatology Physician St George, UT

Practice location

Address
552 N Dixie Dr, St George, UT 84770-5551
Phone
(435) 703-9296
Mailing address
PO Box 217, Layton, UT 84041-0217

Registered specialties

Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 870346694 (UT)

Registry record

NPI
1174693733
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 Nov 2006
Record last updated
11 Apr 2019

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.