Individual
DR. BRANDON JAY BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1502 E MILLBROOK WAY, BOUNTIFUL, UT 84010-1530
(210) 643-6976
Mailing address
1502 E MILLBROOK WAY, BOUNTIFUL, UT 84010-1530
(210) 643-6976
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
10442
ND
208D00000X
General Practice Physician
Primary
10442
ND
Other
Enumeration date
11/28/2006
Last updated
11/11/2020
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