Individual
JARED L BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
94 W MAIN, SANTAQUIN, UT 84660
(801) 754-3122
(801) 798-8513
Mailing address
325 W CENTER ST, SPANISH FORK, UT 84660-2060
(801) 798-7301
(801) 798-8513
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30826401205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080156608
RAILROAD MEDICARE
UT
05
—
D3316
—
UT
Enumeration date
05/24/2006
Last updated
05/28/2008
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