Organization
PHYSICIAN ANESTHESIA OF PUEBLO, PC
Active
Organization
PHYSICIAN ANESTHESIA OF PUEBLO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN W. BELL M.D. (TREASURER)
(719) 296-5840
Entity
Organization
Contact information
Practice address
3902 SANDALWOOD LN UNIT 120, PUEBLO, CO 81005-7502
(719) 296-5841
(719) 542-0746
Mailing address
PO BOX 570, PUEBLO, CO 81002-0570
(719) 296-5840
(719) 542-0746
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04015962
—
CO
01
—
CH6461
RR MEDICARE
—
01
—
PH18408
BCBS
—
Enumeration date
01/08/2007
Last updated
11/13/2024
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