Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | G63151 | CA |
NPI | 1053425116 |
---|---|
Provider Name | Dr. Gregory Michael Bell |
First Address | Tiburon, CA 94920-1037 |
Second Address | Tiburon, CA 94920-1037 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2006 |
Last Update Date | 08/07/2007 |