Provider Demographics
NPI:1437219136
Name:J BELL M D P C
Entity Type:Organization
Organization Name:J BELL M D P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES, CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:W
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:509-547-9497
Mailing Address - Street 1:PO BOX 3967
Mailing Address - Street 2:
Mailing Address - City:PASCO
Mailing Address - State:WA
Mailing Address - Zip Code:99302-3967
Mailing Address - Country:US
Mailing Address - Phone:509-547-9497
Mailing Address - Fax:509-547-9497
Practice Address - Street 1:2521 N ROAD 48
Practice Address - Street 2:
Practice Address - City:PASCO
Practice Address - State:WA
Practice Address - Zip Code:99301-2552
Practice Address - Country:US
Practice Address - Phone:509-547-9497
Practice Address - Fax:509-547-9497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2010-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD29930207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty