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Individual

ANTHONY A BENTLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1001 E PRIMROSE ST, SPRINGFIELD, MO 65807-5155
(000) 000-0000
Mailing address
1001 E PRIMROSE ST, SPRINGFIELD, MO 65807-5155
(417) 875-3000
(417) 875-3625

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
02002288A
IN
207Y00000X
Otolaryngology Physician
Primary
2010011172
MO
207Y00000X
Otolaryngology Physician
36115475
IL
207Y00000X
Otolaryngology Physician
5101016752
MI
207Y00000X
Otolaryngology Physician
E5699
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
175626003
AR
05
204238802
MO
Enumeration date
02/07/2006
Last updated
09/30/2025
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