Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0003X | Hematology & Oncology | 88-124 | NM |
Y | 207RH0003X | Hematology & Oncology | DR.0022663 | CO |
NPI | 1043282155 |
---|---|
Provider Name | Dr. Mitchell J Binder |
First Address | Albuquerque, NM 87110-7613 |
Second Address | Colorado Springs, CO 80909-4533 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2006 |
Last Update Date | 03/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
11273763 | (05) | CO |
C33147 | (02) |