Healthcare Provider Details

I. General information

NPI: 1023474947
Provider Name (Legal Business Name): JAMES CLINTON BELL JR. CSFA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2016
Last Update Date: 03/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2045 N FRANKLIN ST
DENVER CO
80205-5437
US

IV. Provider business mailing address

13851 E STANFORD PL
AURORA CO
80015-1089
US

V. Phone/Fax

Practice location:
  • Phone: 303-764-4378
  • Fax: 303-764-4525
Mailing address:
  • Phone: 720-323-0477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: