Individual
DAMIAN R BELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 EMILIO LOPEZ RD NW, PMG LOS LUNAS, LOS LUNAS, NM 87031-6818
(505) 866-2700
(505) 866-2701
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2004-0210
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45920087
—
NM
Enumeration date
11/18/2005
Last updated
12/15/2021
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