Individual
MATTHEW MARINER BINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
975 CHAMBERS ST, SOUTH OGDEN, UT 84403-4591
(801) 442-3059
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 442-3059
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10186732-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2014
Last updated
07/21/2022
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