Daniel A Bentley, PA

NPI #1629177647 in Rockford, Illinois

Provider Information

NPI Number
1629177647
Entity Type
Individual
Name
Daniel A Bentley, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Surgical
Credential
PA
Enumeration Date
Sep 22, 2006
Last Updated
Jun 28, 2013

Practice Location

Address
1401 E STATE ST
ZIP Code
61104-2315
Phone
(815) 391-6102

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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