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General NPI Number Information
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NPI Number | 1366509168
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Entity Type | Individual
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Provider Name | RAYMOND SCOTT BINKERD D.C.
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Gender | Male
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 04/05/2023
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Provider Practice Location Address
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Address Line | 431 E 5600 S
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City | MURRAY
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State | UT
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Zip | 84107-6261
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Country | US
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Telephone | 801-262-2651
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Fax | 801-262-7038
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Provider Business Mailing Address
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Address Line | 212 E ASPEN AVE
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City | FRUITA
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State | CO
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Zip | 81521-2206
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Country | US
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Telephone | 970-639-9730
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Fax | 970-639-2750
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 174276-1202
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 4045
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License Number State | IA
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