Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 10595A | WY |
NPI | 1013283548 |
---|---|
Provider Name | Dr. Calvin Alpha Bell |
First Address | Laramie, WY 82073-1006 |
Second Address | Laramie, WY 82072-5140 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2012 |
Last Update Date | 04/11/2016 |