| NPI | 1245779412 |
|---|---|
| Doing Business As | BINGHAM HEALTHCARE SPECIALTY CLINIC - VISTA |
| Doing Business As | BINGHAM MEMORIAL SPECIALTY CLINIC - VISTA |
| Entity Type | Organization |
| Authorized Contact | JACOB ERICKSON CEO 208-785-3801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 208200000X Plastic Surgery |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2019-04-01 |