Provider Demographics
NPI:1235416090
Name:BENDER, COURTNEY ELISE (PA-C)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:ELISE
Last Name:BENDER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:ELISE
Other - Last Name:PHILLIPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:DEPT OF ORTHOPAEDICS
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-467-6707
Mailing Address - Fax:319-356-0579
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:DEPT OF ORTHOPAEDICS
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-356-4124
Practice Address - Fax:319-354-8596
Is Sole Proprietor?:No
Enumeration Date:2011-11-08
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA002244363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant