Michael T Bontekoe, MS, PA-C

NPI #1124120902 in Beverly Hills, California

Provider Information

NPI Number
1124120902
Entity Type
Individual
Name
Michael T Bontekoe, MS, PA-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Medical
Credential
MS, PA-C
Enumeration Date
Sep 2, 2006
Last Updated
Nov 2, 2020

Practice Location

Address
450 N ROXBURY DR STE 400
ZIP Code
90210-4218
Phone
(243) 941-6104

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical
Dermatology

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