| NPI | 1992172993 |
|---|---|
| Doing Business As | BINGHAM SPECIALTY PLAZA |
| Entity Type | Organization |
| Authorized Contact | JACOB ERICKSON CEO 208-785-3801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2019-12-16 |