Provider Demographics
NPI:1619910551
Name:BELL, PATRICIA L (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:L
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 1:1401 MCCOY DR
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:AR
Mailing Address - Zip Code:72601-2417
Mailing Address - Country:US
Mailing Address - Phone:870-741-4368
Mailing Address - Fax:870-741-9515
Practice Address - Street 1:1401 MCCOY DR
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:AR
Practice Address - Zip Code:72601-2417
Practice Address - Country:US
Practice Address - Phone:870-741-4368
Practice Address - Fax:870-741-9515
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001024924207Y00000X
ART2009-076207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
189753OtherBLUE CROSS/BLUE SHIELD
MO209219302Medicaid
919794838Medicare ID - Type Unspecified
MO209219302Medicaid
I13151Medicare UPIN