Healthcare Provider Details

I. General information

NPI: 1578894937
Provider Name (Legal Business Name): DAVID D BELL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2010
Last Update Date: 01/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1219 N 400 E
LOGAN UT
84341-2321
US

IV. Provider business mailing address

PO BOX 932
SANDY UT
84091-0932
US

V. Phone/Fax

Practice location:
  • Phone: 435-753-7000
  • Fax: 435-752-3856
Mailing address:
  • Phone: 801-619-2175
  • Fax: 801-553-9562

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number104364-0501
License Number StateUT

VIII. Authorized Official

Name: DAVID D BELL
Title or Position: OWNER
Credential: DPM
Phone: 435-753-7000