Individual
DALE JAMES BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
630 E 1400 N STE 150, LOGAN, UT 84341-2549
(435) 915-4465
(435) 799-3664
Mailing address
740 S WOODRUFF AVE, IDAHO FALLS, ID 83401-5285
(208) 542-9111
(208) 542-9114
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5042433-1206
UT
363A00000X
Physician Assistant
PA-2487
ID
Other
Enumeration date
06/10/2005
Last updated
07/10/2023
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