NPI | 1649460130 |
---|---|
Doing Business As | BINGHAM MEMORIAL PHYSICIANS |
Entity Type | Organization |
Authorized Contact | JACOB ERICKSON CEO 208-785-3801 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
207N00000X Dermatology | |
207R00000X Internal Medicine | |
207T00000X Neurological Surgery | |
207V00000X Obstetrics & Gynecology | |
207X00000X Orthopaedic Surgery | |
208000000X Pediatrics | |
208600000X Surgery | |
208VP0000X Pain Medicine, Pain Medicine | |
Enumeration Date | 2007-07-31 |
Last Update Date | 2019-12-16 |