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Individual

DR. PAUL LINFORD BINGHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
7447 W EMERALD ST, STE 105, BOISE, ID 83704-5003
(208) 322-1642
Mailing address
3221 S OXBOW DR, NAMPA, ID 83686-4905
(208) 280-9762

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-100277
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1063852119
ID
Enumeration date
07/02/2013
Last updated
01/23/2016
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