Healthcare Provider Details

I. General information

NPI: 1366509168
Provider Name (Legal Business Name): RAYMOND SCOTT BINKERD D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 04/05/2023
Certification Date: 04/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

431 E 5600 S
MURRAY UT
84107-6261
US

IV. Provider business mailing address

212 E ASPEN AVE
FRUITA CO
81521-2206
US

V. Phone/Fax

Practice location:
  • Phone: 801-262-2651
  • Fax: 801-262-7038
Mailing address:
  • Phone: 970-639-9730
  • Fax: 970-639-2750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number174276-1202
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number4045
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: