Healthcare Provider Details

I. General information

NPI: 1992768022
Provider Name (Legal Business Name): GARY V BELL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2006
Last Update Date: 07/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 S COWLEY ST
SPOKANE WA
99202-1381
US

IV. Provider business mailing address

801 S STEVENS ST
SPOKANE WA
99204-2654
US

V. Phone/Fax

Practice location:
  • Phone: 509-747-4455
  • Fax: 509-363-7064
Mailing address:
  • Phone: 509-747-4455
  • Fax: 509-363-7064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License NumberMD00017684
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD00017684
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: