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Individual

JON BINGHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1955 W FRYE RD, CHANDLER, AZ 85224-6282
(480) 507-2961
(480) 507-2971
Mailing address
2301 E WILDHORSE PL, CHANDLER, AZ 85286-1533
(414) 813-0088

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN195128
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
242011
AZ

Other

Enumeration date
02/28/2020
Last updated
11/06/2024
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