Individual
COLBY BINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1344 HILAND AVE STE D, BURLEY, ID 83318-1564
(208) 572-6005
Mailing address
4021 CALLOWAY DR, RIGBY, ID 83442-5293
(208) 680-5943
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
M-13572
ID
Other
Enumeration date
05/27/2014
Last updated
07/16/2019
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