| NPI | 1255705786 |
|---|---|
| Doing Business As | BINGHAM HEALTHCARE SPECIALTY CLINIC - TERRY ST |
| Entity Type | Organization |
| Authorized Contact | JACOB ERICKSON CEO 208-785-3801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2019-04-01 |