Healthcare Provider Details

I. General information

NPI: 1760485239
Provider Name (Legal Business Name): MARVIN M BELL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2005
Last Update Date: 02/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7301 E 2ND ST STE 210
SCOTTSDALE AZ
85251-5620
US

IV. Provider business mailing address

7301 E 2ND ST STE 210
SCOTTSDALE AZ
85251-5620
US

V. Phone/Fax

Practice location:
  • Phone: 480-882-5679
  • Fax: 480-882-6801
Mailing address:
  • Phone: 480-882-5679
  • Fax: 480-882-6801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number13440
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: