IndividualActive
Clarence Bishop, SURGICAL ASSISTANT
NPI 1912134792 · Surgical Physician Assistant · Bowie, MD
Provider details
- NPI number
- 1912134792
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- SURGICAL ASSISTANT
- Sex
- Male
- Sole proprietor
- Yes
Practice location
5505 Wrights Endeavor Dr
Bowie, MD 20720-3383
Phone: (301) 805-2260
Fax: (301) 805-2260
Mailing address
5505 Wrights Endeavor Dr
Bowie, MD 20720-3383
Registry dates
- Enumerated
- 2009-06-18
- Last updated
- 2009-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.