Individual
JEREMY K BINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2855 E BROWN RD STE 28, MESA, AZ 85213-4217
(480) 625-4538
Mailing address
2855 E BROWN RD STE 28, MESA, AZ 85213-4217
(480) 625-4538
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
5198
AZ
207Q00000X
Family Medicine Physician
5198
AZ
Other
Enumeration date
06/25/2008
Last updated
07/24/2023
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