Bingham Dermatology Group, Llc

NPI 1083957906 - Dermatology - 207N00000X

NPI Details
NPI 1083957906
Enumeration Date 03/28/2013
Last Updated 03/28/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name JEREMY KEMPTON JEREMY
Position OWNER / MANAGING MEMBER
Phone (111) 111-1111
Fax
Practice Location
2855 E BROWN RD
SUITE 22
MESA AZ, 85213-4213, US
Phone (111) 111-1111
Fax
Business Location
2855 E BROWN RD
SUITE 22
MESA AZ, 85213-4213, US
Phone (111) 111-1111
Fax
Toxanomy
Taxonomy Code 207N00000X
License State Arizona
License Number 5198
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According to our database, Bingham Dermatology Group, Llc NPI is 1083957906, taxonomy code is 207N00000X and license number is 5198, license state is located at Arizona. Bingham Dermatology Group, Llc physically located at 2855 E Brown Rd, Mesa AZ, 85213-4213. NPI Number 1033115704 has the healthcare provider type.

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1083957906 NPI number is provided on an as is basis without warranty of any kind. 1083957906 is maintained by the National Plan & Provider Enumeration System. The contents of Bingham Dermatology Group, Llc are for informational purposes only.