| NPI | 1801336276 |
|---|---|
| Doing Business As | BINGHAM MEMORIAL SPECIALTY CLINIC - POPLAR |
| Entity Type | Organization |
| Authorized Contact | JACOB ERICKSON CEO 208-785-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2019-12-16 |