Individual
GAITHER D. BYNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2635 N 7TH ST STE 4205, GRAND JUNCTION, CO 81501-8209
(970) 298-7049
(970) 298-2079
Mailing address
2635 N 7TH ST STE 4205, PO BOX 62, GRAND JUNCTION, CO 81501-8209
(970) 298-7049
(970) 298-2079
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
44569
CO
207R00000X
Internal Medicine Physician
45316
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34471400
—
WI
05
—
66835216
—
CO
Enumeration date
02/10/2006
Last updated
01/08/2014
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