Individual
CODIE BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
640 E 700 S STE 105, SAINT GEORGE, UT 84770-7094
(435) 688-7770
Mailing address
640 E 700 S STE 105, SAINT GEORGE, UT 84770-7094
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9331398-4405
UT
Other
Enumeration date
09/03/2019
Last updated
09/05/2019
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