NPI 1164834073

Colby Bingham, MD

Practitioner Dermatology Physician Burley, ID

Practice location

Address: 1344 Hiland Ave STE D, Burley, ID 83318-1564
Phone: (208) 572-6005
Mailing address: 4021 Calloway Dr, Rigby, ID 83442-5293

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence M-13572 (ID)

Other Dermatology providers in Idaho →

Registry record

NPI: 1164834073
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 May 2014
Record last updated: 16 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.