Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 7498338-1205 | UT |
NPI | 1013061480 |
---|---|
Provider Name | Dr. Cardin Harris Bell |
First Address | Gilbert, AZ 85299-1847 |
Second Address | West Jordan, UT 84088-8812 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2007 |
Last Update Date | 30/06/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1013061480 | (05) | UT |
P01344815 | MEDICARE RR (01) | UT |