Shannon Elan Bishop

NPI #1952847253 in Coolidge, Arizona

Provider Information

NPI Number: 1952847253
Entity Type: Individual
Name: Shannon Elan Bishop
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Jan 10, 2017
Last Updated: Jan 10, 2017

Practice Location

Address: 250 E CONGRESS AVE
City: Coolidge
State: Arizona
ZIP Code: 85128-4519
Phone: (520) 560-1545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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