Individual
MAX WAYLAND BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9660 S 1300 E, SANDY, UT 84094-3762
(801) 616-7958
Mailing address
58 WINSTON DR UNIT B, WILDER, VT 05088-3028
(801) 616-7958
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
8170189-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2020
Last updated
05/23/2024
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