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Individual

RICHARD WHITING BENTLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
(208) 529-6111
Mailing address
2265 E SUNNYSIDE RD, IDAHO FALLS, ID 83404-7598
(208) 542-5000
(208) 542-5151

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M-11981
ID

Other

Enumeration date
07/10/2007
Last updated
08/30/2016
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