Individual
DANIEL T BENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, MPA-S
Contact information
Practice address
626 WATER STREET, ORBISONIA, PA 17243
(814) 447-5556
Mailing address
PO BOX 40, ORBISONIA, PA 17243
(814) 447-5556
(814) 447-5682
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA002377
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008434780002
—
PA
Enumeration date
12/29/2010
Last updated
12/29/2010
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