Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | 2019017270 | MO |
N | 207YP0228X | Pediatric Otolaryngology | 57.029586 | OH |
NPI | 1275899155 |
---|---|
Provider Name | Jason Ramsey Bell |
First Address | Saint Louis, MO 63110-2520 |
Second Address | Saint Louis, MO 63104-1003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2012 |
Last Update Date | 15/02/2021 |