Provider Demographics
NPI:1407184591
Name:BELL, ROBERT PATRICK (DO)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:PATRICK
Last Name:BELL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1322
Mailing Address - Street 2:P.O. BOX 1322
Mailing Address - City:BOCA GRANDE
Mailing Address - State:FL
Mailing Address - Zip Code:33921-1322
Mailing Address - Country:US
Mailing Address - Phone:810-516-9214
Mailing Address - Fax:
Practice Address - Street 1:4225 MILLER RD
Practice Address - Street 2:BOX 229
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507-1257
Practice Address - Country:US
Practice Address - Phone:810-516-9214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-30
Last Update Date:2009-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101006914208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery