# BINGHAM MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538446323
- **Authorized official:** DR. JENNIFER ANN BINGHAM M.D. (PHYSICIAN-OWNER)
- **Authorized official phone:** (479) 287-4370

## Contact information

- **Practice address:** 5230 WILLOW CREEK DR, SUITE 201, SPRINGDALE, AR 72762-0876
- **Practice address phone:** (479) 287-4370
- **Practice address fax:** (479) 287-4586
- **Mailing address:** PO BOX 6220, SPRINGDALE, AR 72766-6220
- **Mailing address phone:** (479) 287-4370
- **Mailing address fax:** (479) 287-4586

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | E1940 | AR | Yes |

## Other

- **Enumeration date:** 11/08/2011
- **Last updated:** 11/08/2011