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Theral Michael Bishop, MD
Emergency Medical Services (Emergency Medicine) Physician in Logan, Utah
NPI 1376584300

Theral Michael Bishop is a Emergency Medical Services (Emergency Medicine) Physician based in Salt Lake City, UT and is specialized in Emergency Medical Services. Theral Michael Bishop practices in Logan, UT and has the professional credentials of MD. The NPI Number for Theral Michael Bishop is 1376584300 and holds a License No. 1493181205 (Utah).

The current practice location address for Theral Michael Bishop is 1400 N 500 E, Logan, UT and can be reached out via phone at 435-716-1000.

Location: 1400 N 500 E, Logan, UT, 84125
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376584300
Provider Name
Theral Michael Bishop
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1400 N 500 E, Logan, UT, 84125
Phone Number
435-716-1000
Fax Number
Provider Enumeration Date
06/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03874 05 UT
institution
Provider Business Practice Location Address Details
Address
1400 N 500 E
City
Logan
State
Utah
Zip
84341
Phone Number
435-716-1000
Fax Number
person
Provider Business Mailing Address Details
Address
1400 N 500 E
City
Logan
State
Utah
Zip
84341
Phone Number
435-716-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
1493181205 (Utah)
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
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