Bingham, Clark Richard

Bingham, Clark Richard is an individual health care provider with primary practice located at 2855 E Brown Rd Ste 28 , Mesa AZ 85213-4217. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Bingham, Clark Richard can be contacted via phone (480) 625-4538.

Contact Information

Primary practice address
2855 E Brown Rd Ste 28 Mesa AZ 85213-4217
Phone: (480) 625-4538
Fax: (480) 625-4561
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 8309 Arizona

Profile Details

NPI number 1730775396
LBN Legal business name Bingham, Clark Richard
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2020
Last updated Aug 19th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730775396 NPPES
Arizona Other 8309 STATE LICENSE

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