Individual
ERIC JASON BELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
15630 18TH AVENUE, CLEARLAKE, CA 95422
(707) 225-7129
Mailing address
15630 18TH AVENUE, CLEARLAKE, CA 95422
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
54359
CA
Other
Enumeration date
07/07/2017
Last updated
07/07/2017
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