| Doctor Name: | DR. MICAH BISHOP |
| NPI Number: | 1003294604 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DVM, DACVIM |
| License Number: | 10569 |
| Business Practice Address: | 10130 Market St Suite 1 Naples, FL - 341123444 |
| Business Phone Number: | 2392630480 |
| Business Fax Number: | 2392630488 |
| Mailing Address: | 10130 Market St, Suite 1 NAPLES |
| State: | FL |
| Postal Code: | 341123444 |
| Phone Number: | 2392630480 |
| Fax Number: | 2392630488 |
| NPI Enumeration Date: | 05/14/2015 |
| NPI Last Update Date: | 05/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174M00000X |
| License Number: | 10569 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Veterinarian |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |