Healthcare Provider Details

I. General information

NPI: 1629043807
Provider Name (Legal Business Name): MARK G BELL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 04/09/2021
Certification Date: 04/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 S SANTA FE AVE SUITE 200
SALINA KS
67401-4190
US

IV. Provider business mailing address

520 S SANTA FE AVE SUITE 200
SALINA KS
67401-4190
US

V. Phone/Fax

Practice location:
  • Phone: 785-823-7225
  • Fax: 785-827-4433
Mailing address:
  • Phone: 785-823-7225
  • Fax: 785-827-4433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number0416964
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number04-16964
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: