Dr TAYLOR C BINGOLD is a female medical professional, specializing in Physician Assistant. She graduated in 2017.
KERRY S GREEN MD PLC
6112 E BROWN RD
MESA
AZ
852054955
Tel: 4809244422227
| Npi | 1194245746 |
| Pac Id | 5496021883 |
| Professional Enrollment Id | I20171031000835 |
| Last Name | BINGOLD |
| First Name | TAYLOR |
| Middle Name | C |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
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| Organization Legal Name | KERRY S GREEN MD PLC |
| Group Practice Pac Id | 3476538729 |
| Number Of Group Practice Members | 7 |
| Line 1 Street Address | 6112 E BROWN RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | MESA |
| State | AZ |
| Zip Code | 852054955 |
| Phone Number | 4809244422227 |
| Hospital Affiliation Ccn 1 | 030088 |
| Hospital Affiliation Lbn 1 | BANNER BAYWOOD MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
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| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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