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Individual

ROCIO BENTIVEGNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
12400 OLIVE BLVD, SAINT LOUIS, MO 63141-5454
(314) 391-9400
(618) 861-6003
Mailing address
12400 OLIVE BLVD, SAINT LOUIS, MO 63141-5454
(314) 391-9400
(618) 861-6003

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036176935
IL
207W00000X
Ophthalmology Physician
2025040954
MO
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
036176935
IL
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
2025040954
MO

Other

Enumeration date
03/24/2021
Last updated
12/11/2025
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