Individual
MR. STANLEY ARDEL BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2040 MURRAY HOLLADAY RD, 205, HOLLADAY, UT 84117-5185
(801) 274-0299
(801) 274-0947
Mailing address
9458 CHAVEZ DR, SOUTH JORDAN, UT 84095-9282
(801) 253-0262
(801) 274-0947
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
119490-2401
UT
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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