Organization
BINGHAM MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER ANN BINGHAM M.D. (PHYSICIAN-OWNER)
(479) 287-4370
Entity
Organization
Contact information
Practice address
5230 WILLOW CREEK DR, SUITE 201, SPRINGDALE, AR 72762-0876
(479) 287-4370
(479) 287-4586
Mailing address
PO BOX 6220, SPRINGDALE, AR 72766-6220
(479) 287-4370
(479) 287-4586
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E1940
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135065001
—
AR
Enumeration date
11/08/2011
Last updated
11/08/2011
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