Individual
BRIAN ANTHONY BENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1301 E 7TH ST, PUEBLO, CO 81001
(195) 438-7117
(719) 543-0171
Mailing address
110 E ROUTT AVE, PUEBLO, CO 81004-2117
(719) 543-8718
(719) 585-3057
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0005310-NP
CO
Other
Enumeration date
06/28/2007
Last updated
12/21/2021
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