# DR. JEFFREY GERARD BELISLE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1952625840
- **Gender:** Man
- **Credential:** MD, MBA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 9338988-1205 | UT | — |
| 207X00000X | Orthopaedic Surgery Physician | DR.0066063 | CO | Yes |
| 207X00000X | Orthopaedic Surgery Physician | ME127248 | FL | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | 0101269306 | VA | — |
| 208D00000X | General Practice Physician | 26348 | NE | — |
| 208D00000X | General Practice Physician | 9338988-1205 | UT | — |

## Other

- **Enumeration date:** 03/21/2010
- **Last updated:** 08/23/2023