Individual
BENTLEY MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7300 N PERIMETER RD, MALMSTROM AFB, MT 59402-6701
(406) 731-2789
Mailing address
7300 N PERIMETER RD, MALMSTROM AFB, MT 59402-6701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2020027893
MO
Other
Enumeration date
04/18/2018
Last updated
06/14/2022
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