Search › Idaho › 207X00000X
Jacob Bingham, MD
NPI 1144609314 · on the registry since 2015 · sole proprietor
Practice
- Address
- 1501 Hiland Ave Ste C
Burley, ID 83318 - Phone
- (208) 677-6080
- Fax
- (208) 677-6090
- Organisation at this address
- Rnba Llc
Medical Lab Service
Anesthesia West, Pa
Wayne H Blauer Md Pa
Ihc Health Services IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 68
Registry record
- Primary taxonomy
- 207X00000X
207X00000X
- Also registered as
- 207XX0005X
390200000X - Licence states on file
- CA, PA, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-03-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho