Individual
ROBERT THURSTON BENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
702 SW RAMSEY AVE STE 112, GRANTS PASS, OR 97527-5859
(541) 472-0603
(541) 472-0609
Mailing address
2780 E BARNETT RD STE 200, MEDFORD, OR 97504-8674
(541) 779-6250
(541) 608-2535
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD17187
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022588
—
OR
01
—
P00312250
MEDICARE RAILROAD
OR
Enumeration date
11/21/2005
Last updated
10/05/2022
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