Individual
MR. RICHARD ALLEN BINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
315 FALLS AVE, TWIN FALLS, ID 83301-3367
(208) 732-6481
(208) 734-0245
Mailing address
634 PICABO DR, TWIN FALLS, ID 83301-5597
(208) 736-7314
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-253
ID
Other
Enumeration date
04/05/2006
Last updated
07/08/2007
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