Provider Demographics
NPI:1568459303
Name:BELL, ROBERT M (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:M
Last Name:BELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:HC 33 BOX 64
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NM
Mailing Address - Zip Code:87701-9504
Mailing Address - Country:US
Mailing Address - Phone:505-454-1530
Mailing Address - Fax:505-454-1531
Practice Address - Street 1:HC 33 BOX 64
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NM
Practice Address - Zip Code:87701-9504
Practice Address - Country:US
Practice Address - Phone:505-454-1530
Practice Address - Fax:505-454-1531
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM80-123207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM0017244Medicaid
NM0274OtherBLUE CROSS BLUE SHIELD
NM11446OtherPRESBYTERIAN HEALTH PLAN
2127969Medicare ID - Type Unspecified
NM11446OtherPRESBYTERIAN HEALTH PLAN