person
Daniel A Bentley, PA
Surgical Physician Assistant in Rockford, Illinois
NPI 1629177647

Daniel A Bentley is a Surgical Physician Assistant based in Atlanta, IL and is specialized in Surgical. Daniel A Bentley practices in Rockford, IL and has the professional credentials of PA. The NPI Number for Daniel A Bentley is 1629177647 and holds a License No. PA9104555 (Illinois).

The current practice location address for Daniel A Bentley is 1401 E State St, Rockford, IL and can be reached out via phone at 815-391-6102. You can also correspond with Daniel A Bentley through the mailing address at 95 COLLIER RD, ATLANTA, GA - 30309 (mailing address contact number: 404-605-2800).

Location: 1401 E State St, Rockford, IL, 30309
person
Provider Profile Details
NPI Number
1629177647
Provider Name
Daniel A Bentley
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1401 E State St, Rockford, IL, 30309
Phone Number
815-391-6102
Fax Number
Provider Enumeration Date
09/22/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1401 E State St
City
State
Zip
61104-2315
Phone Number
815-391-6102
Fax Number
person
Provider Business Mailing Address Details
Address
1401 E State St
City
State
Zip
61104-2315
Phone Number
815-391-6102
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA9104555 (Florida)
Definition
Definition to come...
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