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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LARRY BISHOP, MD

Active

Pediatrics · BOISE, ID

Registration Details

NPI Number
1134178403
Provider Type
Individual
Gender
Male
NPI Issued
May 6, 2006 (19.977303750967 yrs)
Last Updated
Jul 8, 2007
License
M-3771 (ID)

Practice Information

Address
305 E JEFFERSON ST
SUITE 101
BOISE, ID, 837126273
Browse ID providers · Browse ZIP 83712
Phone
2083450715
Fax
2083451142
Primary Specialty
Pediatrics
208000000X

Other Pediatrics Providers in BOISE, ID

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.