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1730775396
CLARK RICHARD BINGHAM
MESA, AZ
NPI
1730775396
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: AZ 8309)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2020-12-17
Last Update Date
2022-08-19
Business Address
CLARK RICHARD BINGHAM PA-C
2855 E BROWN RD STE 28
MESA, AZ 85213-4217
Phone number: 480-625-4538
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Mailing Address
CLARK RICHARD BINGHAM PA-C
2855 E BROWN RD STE 28
MESA, AZ 85213-4217
Phone number: 480-625-4538
Copy
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