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NPI Code Detail

MEDICARE: MR. ROBERT LEE BELL PA-C

MEDICARE: MR. ROBERT LEE BELL PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant15566CA

General Provider Information

NPI Number : 1841242567
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROBERT LEE BELL PA-C
Provider Business Mailing Address
First Line : 2031 6TH ST
Second Line :
City : BERKELEY
State : CA
Zip : 94710-2006
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2031 6TH ST
Second Line : WEST BERKELEY FAMILY PRACTICE
City : BERKELEY
State : CA
Zip : 94710-2006
Country : US
Telephone Number : 510-428-4232
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2006
Last Update Date : 12/11/2007

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Directions to “ MR. ROBERT LEE BELL PA-C” Practice Location

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