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Individual

DR. TYLER MICHAEL BINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1189 E 700 S, ST GEORGE, UT 84790-4022
(435) 628-2824
(435) 656-6246
Mailing address
1217 CAMPBELL ST, BAKER CITY, OR 97814-2221
(541) 523-2138

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6312248-1701
UT
183500000X
Pharmacist
RPH-0012389
OR

Other

Enumeration date
09/12/2010
Last updated
07/26/2022
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