Provider Demographics
NPI:1679871859
Name:SCOTT BINKERD DC PC
Entity Type:Organization
Organization Name:SCOTT BINKERD DC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIRORACTIC PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:BINKERD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:801-262-2651
Mailing Address - Street 1:431 EAST 5600 SOUTH
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107
Mailing Address - Country:US
Mailing Address - Phone:801-262-2651
Mailing Address - Fax:801-262-2651
Practice Address - Street 1:431 E 5600 S
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-6261
Practice Address - Country:US
Practice Address - Phone:801-262-2651
Practice Address - Fax:801-262-2651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-11
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1742761202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty