Individual
JONATHAN L BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 PARK DR S, GREAT FALLS, MT 59401-3637
(406) 613-7160
(406) 831-5345
Mailing address
7300 RANCH ROAD 2222 STE 200, AUSTIN, TX 78730-3204
(512) 628-0465
(512) 233-2711
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
21190
MT
Other
Enumeration date
12/19/2005
Last updated
02/04/2025
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