Individual
WILLIAM GREG BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9785 MAROON CIR STE G104, ENGLEWOOD, CO 80112-5922
(303) 779-1172
(303) 779-8553
Mailing address
PO BOX 17982, BELFAST, ME 04915-4074
(303) 796-4802
(303) 996-0695
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0004410
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49730142
—
CO
Enumeration date
11/16/2015
Last updated
11/10/2023
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