Individual
BRIAN T BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
88 MDG/SGHJ, 4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433-5529
(937) 257-9922
Mailing address
88 MDG/SGHJ, 4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433
(937) 257-9922
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34.014168
OH
Other
Enumeration date
04/30/2014
Last updated
12/13/2019
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