Most Relevant Information
Provider Data
| NPI Number: | 1003295957 |
| Provider Name: | EMILY BENTOW |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | 086 |
Most Important Dates
| Enumeration Date: | 05/26/2015 |
| Last Updated: | 05/26/2015 |
Provider Practice Location
50 W 3RD ST
SHERIDAN
WY
828013606
Practice Location Phone/Fax
| Phone: | 3076722092 |
| Fax: |
Provider Mailing Location
50 W 3RD ST
SHERIDAN
WY
828013606
Provider Mailing Phone/Fax
| Phone: | 3076722092 |
| Fax: |