Individual
HOLLY DORAN BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2000 W UNIVERSITY ST, SILOAM SPRINGS, AR 72761-2112
(479) 524-7316
Mailing address
680 SKYLINE TRL, KANSAS, OK 74347-9529
(918) 226-0128
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
621
AR
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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