NPI 1073627147 · live from the CMS NPI Registry
Joseph E. Bish, PA-C
Family Medicine in Albuquerque, NM. National Provider Identifier 1073627147, active.
NPI record
| NPI | 1073627147 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | Pmg Urgent Care, 5901 Harper Drive Ne, Albuquerque, NM 87109 |
| Practice phone | 505-823-8519 |
| Mailing address | Po Box 26666, Phs Provider Enrollment, Albuquerque, NM 87125 |
| Enumerated | August 18, 2006 |
| Last updated | July 6, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 80-PA002 (NM) |
| Physician Assistant, Medical | 363AM0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.