| NPI | 1780123950 |
|---|---|
| Doing Business As | BINGHAM HEALTHCARE SPECIALTY CLINIC - WASHINGTON |
| Doing Business As | BINGHAM MEMORIAL SPECIALTY CLINIC - WASHINGTON |
| Entity Type | Organization |
| Authorized Contact | JACOB ERICKSON CEO 208-785-3801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 208600000X Surgery |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2019-12-18 |