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Individual

ROGER BOYD BENTLEY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
212 E CENTRAL AVE STE 440, SPOKANE, WA 99208-6290
(509) 252-1977
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 252-1977

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
28551
OK
207X00000X
Orthopaedic Surgery Physician
58882
MT
207X00000X
Orthopaedic Surgery Physician
MD204587
OR
207X00000X
Orthopaedic Surgery Physician
Primary
MD61180938
WA
207X00000X
Orthopaedic Surgery Physician
MED-PHYS-LIC-58882
MT

Other

Enumeration date
06/06/2011
Last updated
12/01/2023
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