Individual
MARY CATHERINE BENTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1225 S GEAR AVE, SUITE 153, WEST BURLINGTON, IA 52655-1691
(319) 754-4400
(319) 754-4412
Mailing address
1225 S GEAR AVE, SUITE 153, WEST BURLINGTON, IA 52655-1691
(319) 754-4400
(319) 754-4412
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001970
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205074267
WELLMARK BLUE CROSS/BLUE SHIELD
IA
05
—
1275533713
—
IA
Enumeration date
01/29/2009
Last updated
12/01/2016
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