BLAKE BINGHAM

NAMPA, ID
NPI1467945873
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: ID  ODP-100443)
Enumeration Date2018-06-11
Last Update Date2018-06-11
Business Address
Dr. BLAKE BINGHAM OD
1700 W KARCHER RD
NAMPA, ID 83651-1531
Phone number: 208-449-1058
Mailing Address
Dr. BLAKE BINGHAM OD
3848 E TALON CIR
IDAHO FALLS, ID 83401-1215
Phone number:
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