Provider Demographics
NPI:1659585230
Name:BELL, JON ANDREW (MD)
Entity Type:Individual
Prefix:DR
First Name:JON
Middle Name:ANDREW
Last Name:BELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2696 S COLORADO BLVD
Mailing Address - Street 2:SUITE 360
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-5945
Mailing Address - Country:US
Mailing Address - Phone:303-639-6604
Mailing Address - Fax:303-639-1008
Practice Address - Street 1:2696 S COLORADO BLVD
Practice Address - Street 2:SUITE 360
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-5945
Practice Address - Country:US
Practice Address - Phone:303-639-6604
Practice Address - Fax:303-639-1008
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO22981174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO22981OtherCOLORADO LICENSE
CO22981OtherCOLORADO LICENSE
CO22981OtherCOLORADO LICENSE