Provider Demographics
NPI:1588003461
Name:BELL, WHITNEY LOGAN (MD)
Entity Type:Individual
Prefix:DR
First Name:WHITNEY
Middle Name:LOGAN
Last Name:BELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 E 51ST ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46205-1021
Mailing Address - Country:US
Mailing Address - Phone:479-461-9300
Mailing Address - Fax:
Practice Address - Street 1:5707 JENNY LIND RD
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72908-7435
Practice Address - Country:US
Practice Address - Phone:479-452-9416
Practice Address - Fax:479-484-0827
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-24
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20130206552085R0202X
IN11018004A2085R0202X
ARE-120532085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology