Individual
JEREMY BELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4480 UTICA RIDGE RD, BETTENDORF, IA 52722-1656
(563) 742-4800
(563) 742-4805
Mailing address
5521 HILLSIDE CT, DAVENPORT, IA 52806-2381
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
005108
IA
174400000X
Specialist
070019829
IL
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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