Provider Demographics
NPI:1447828215
Name:BINKLEY, TERRY LEROY
Entity type:Individual
Prefix:
First Name:TERRY
Middle Name:LEROY
Last Name:BINKLEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6940 SIERRA CENTER PKWY
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-2209
Mailing Address - Country:US
Mailing Address - Phone:775-393-2200
Mailing Address - Fax:
Practice Address - Street 1:6940 SIERRA CENTER PKWY
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-2209
Practice Address - Country:US
Practice Address - Phone:775-393-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-16
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist