MEL BINGHAM

MALAD CITY, ID
NPI1134257876
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1173)
Additional Taxonomies363A00000X Physician Assistant
(Licence: AK  757)
Enumeration Date2007-03-02
Last Update Date2015-01-30
Business Address
-- MEL BINGHAM PA-C
220 BANNOCK ST
MALAD CITY, ID 83252-5068
Phone number: 208-766-2600
Mailing Address
-- MEL BINGHAM PA-C
220 BANNOCK ST
MALAD CITY, ID 83252-5068
Phone number: 208-766-2600