Individual
JORDAN BELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
267 N CANYON DR, GOODING, ID 83330-5500
(208) 934-4433
Mailing address
654 FULL MOON WAY, TWIN FALLS, ID 83301-8450
(801) 682-6067
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1161073
ID
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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