Individual
ITAY BENTOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 744-3059
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
TR00048968
WA
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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