Bentley Renal Care, Pc

NPI 1093042566 - Internal Medicine - 207RN0300X

NPI Details
NPI 1093042566
Enumeration Date 11/04/2009
Last Updated 02/17/2016
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name FELICIA RENAE FELICIA
Position OWNER
Phone (314) 741-1600
Fax (314) 741-7600
Practice Location
11155 DUNN RD
SUITE 211N
SAINT LOUIS MO, 63136-6150, US
Phone (314) 741-1600
Fax (314) 741-7600
Business Location
11155 DUNN RD
SUITE 211N
SAINT LOUIS MO, 63136-6150, US
Phone (314) 741-1600
Fax
Toxanomy
Taxonomy Code 207RN0300X
License State Illinois
License Number 036107319
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According to our database, Bentley Renal Care, Pc NPI is 1093042566, taxonomy code is 207RN0300X and license number is 036107319, license state is located at Illinois. Bentley Renal Care, Pc physically located at 11155 Dunn Rd, Saint Louis MO, 63136-6150. NPI Number 1033115704 has the healthcare provider type.

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1093042566 NPI number is provided on an as is basis without warranty of any kind. 1093042566 is maintained by the National Plan & Provider Enumeration System. The contents of Bentley Renal Care, Pc are for informational purposes only.