Individual
GARRETT A BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2550 ADDISON AVE E STE B, TWIN FALLS, ID 83301-6748
(208) 814-8000
(208) 933-9301
Mailing address
2963 W WHITE MOUNTAIN BLVD, LAKESIDE, AZ 85929-6257
(928) 537-5437
(928) 537-5857
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11017199A
IN
Other
Enumeration date
06/05/2013
Last updated
02/14/2020
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