NPI | 1720574023 |
---|---|
Doing Business As | BINGHAM HEALTHCARE SPECIALTY CLINIC - VALENCIA |
Entity Type | Organization |
Authorized Contact | JACOB ERICKSON CEO 208-785-3801 |
Organization Subpart ? | No |
Primary Taxonomy | 207QS0010X Family Medicine Sports Medicine |
Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine |
207RC0000X Internal Medicine Cardiovascular Disease | |
207RG0100X Internal Medicine Gastroenterology | |
207T00000X Neurological Surgery | |
207X00000X Orthopaedic Surgery | |
208800000X Urology | |
213E00000X Podiatrist | |
261Q00000X Clinic/Center | |
261QP1100X Clinic/Center Podiatric | |
261QU0200X Clinic/Center Urgent Care | |
Enumeration Date | 2018-07-10 |
Last Update Date | 2024-05-09 |