Charles G Bishop JR., MD

NPI #1629053459 in Glen Carbon, Illinois

Provider Information

NPI Number: 1629053459
Entity Type: Individual
Name: Charles G Bishop JR., MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Anesthesiology
Credential: MD
Enumeration Date: Dec 14, 2005
Last Updated: Dec 26, 2014

Practice Location

Address: 12 GINGER CREEK PARKWAY
City: Glen Carbon
State: Illinois
ZIP Code: 62034
Phone: (618) 656-8200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary
Anesthesiology - Pain Medicine — Pain Medicine	207LP2900X

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