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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