Makenzie Bishop
Physician Assistant in Cedar City, UT. Individual provider (NPI-1).
NPI number1164049201
StatusActive
Last updated in NPPESJan 26, 2021
Details
- NPI
- 1164049201
- Entity type
- Individual (NPI-1)
- Name
- Makenzie Bishop
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 5, 2020
- Certification date
- Jan 26, 2021
- Last updated
- Jan 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 11917253-1206 | UT | Yes |
Practice location
110 W 1325 N Ste 200Cedar City, UT 84721-8179
Phone 435-586-7676 · Fax 435-586-2290
Mailing address
110 W 1325 N Ste 200Cedar City, UT 84721-8179
Phone 435-586-7676
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All 29 Physician Assistant providers in Cedar City · All 1,310 providers in Cedar City
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