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NPI Code Detail

MEDICARE: MELISSA OJEDA BISHOP M.D.

MEDICARE: MELISSA OJEDA BISHOP M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician036115047IL
2207V00000XObstetrics & Gynecology PhysicianDR.0052556CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1036115047OTHERILSTATE LICENSE

General Provider Information

NPI Number : 1356541049
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA OJEDA BISHOP M.D.
Provider Business Mailing Address
First Line : 300 EXEMPLA CIRCLE
Second Line : SUITE 470
City : LAFAYETTE
State : CO
Zip : 80026-3396
Country : US
Telephone Number : 303-665-6016
Fax Number : 303-665-0121
Provider Business Practice Location Address
First Line : 300 EXEMPLA CIRCLE
Second Line : SUITE 470
City : LAFAYETTE
State : CO
Zip : 80026-3396
Country : US
Telephone Number : 303-665-6016
Fax Number : 303-665-0121
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2007
Last Update Date : 06/13/2024

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