Individual
EDEM KOFI BINKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1125
(801) 213-7610
Mailing address
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1125
(801) 213-7610
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
D81125
MD
2080P0202X
Pediatric Cardiology Physician
Primary
12062385-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D81125
LICENSE
MD
Enumeration date
03/25/2013
Last updated
10/28/2021
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