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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DANIEL A BENTLEY, PA

Active

DANIEL A BENTLEY, PA is a Surgical Physician Assistant healthcare provider located in ROCKFORD, Illinois. NPI 1629177647 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · ROCKFORD, IL

Registration Details

NPI Number
1629177647
Provider Type
Individual
Gender
Male
NPI Issued
Sep 22, 2006 (19.869415681315 yrs)
Last Updated
Jun 28, 2013
Licenses
PA9104555 (FL)
085.004313 (IL)

Practice Information

Address
1401 E STATE ST
ROCKFORD, IL, 611042315
Browse IL providers · Browse ZIP 61104
Phone
8153916102
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in ROCKFORD, IL

Name Credential NPI
MS. CYNTHIA ANN BEAR PA 1548266620
JIMMY L WALKER JR. PA-C 1063472751
MR. ROLANDO PEREZ IMG, LSA 1861593592
PATRICK HOFFMANN PA-C 1447682703
CINDY GIURGIU 1598217168
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.