MEDICARE: DR. ISABEL PILAR BELLOT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	23518	AZ

General Provider Information

NPI Number	:	1538151824
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ISABEL PILAR BELLOT MD

Provider Business Mailing Address
First Line	:	2851 S AVENUE B
Second Line	:	#900
City	:	YUMA
State	:	AZ
Zip	:	85364-7726
Country	:	US
Telephone Number	:	928-344-1135
Fax Number	:	928-344-3758

Provider Business Practice Location Address
First Line	:	2851 S AVE B
Second Line	:	#900
City	:	YUMA
State	:	AZ
Zip	:	85364-7726
Country	:	US
Telephone Number	:	928-344-1135
Fax Number	:	928-344-3758

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	09/12/2008

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