Organization
LEGRAND BINGHAM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEGRAND BINGHAM DMD (OWNER)
(435) 753-7563
Entity
Organization
Contact information
Practice address
120 W CACHE VALLEY BLVD, SUITE 200, LOGAN, UT 84341-2696
(435) 753-7563
(435) 753-0886
Mailing address
120 W CACHE VALLEY BLVD, SUITE 200, LOGAN, UT 84341-2696
(435) 753-7563
(435) 753-0886
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
141029
UT
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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