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Individual

DR. RONALD LEE BENDORF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
801 HARMONY ST, SUITE #302, COUNCIL BLUFFS, IA 51503-3106
(712) 328-2609
Mailing address
14323 230TH ST, COUNCIL BLUFFS, IA 51503-7217
(712) 366-9839
(712) 366-6010

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
10881
NE
2084P0800X
Psychiatry Physician
Primary
19097
IA

Other

Enumeration date
01/18/2007
Last updated
06/26/2008
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