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Individual

MCKELLAN BINKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
475 W 940 N, PROVO, UT 84604-3301
(801) 357-7926
Mailing address
48 CASA LOMA RD, CEDAR CREST, NM 87008-9435

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9498520-1205
UT
208M00000X
Hospitalist Physician
Primary
9498520-1205
UT

Other

Enumeration date
04/18/2014
Last updated
10/01/2021
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