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DR. ERIC MATTHEW BENDORF M.D.

>> Specialist >> Other Service Providers

Registrant NPI Number: 1558447169

Individual Registrant:
DR. ERIC MATTHEW BENDORF M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
201 RIDGE ST SUITE 214 COUNCIL BLUFFS, IA 51503-4643 US
Tel: 712-396-4320  Fax: 712-396-4328

Contact information for business:
PO BOX 3755  OMAHA, NE 68103-0755 US
Tel: 402-354-2100  Fax: 402-354-2155

Registration Information:
NPI: 1558447169
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y174400000XOther Service Providers
Specialist
IA32022

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1558447169IA05
160390IA05
10026480113NE05




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