Provider Demographics
NPI:1811935679
Name:BELL, JOHN W (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:W
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: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
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2010-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00029930207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8142887Medicaid
F38556Medicare UPIN
WA8142887Medicaid