| NPI | 1487851424 |
|---|---|
| Doing Business As | BINGHAM MEMORIAL FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JACOB ERICKSON CEO 208-785-3801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2019-12-17 |