| NPI | 1073032413 |
|---|---|
| Doing Business As | BINGHAM MEMORIAL SPECIALIST OF IDAHO FALLS |
| Doing Business As | BINGHAM MEMORIAL SPECIALISTS OF IDAHO FALLS |
| Entity Type | Organization |
| Authorized Contact | DANIEL J DANIELS CEO 208-785-3803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2017-09-19 |