Individual
STEPHEN BELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
28 N 64TH ST, BELLEVILLE, IL 62223-3808
(908) 653-9399
(908) 653-9305
Mailing address
PO BOX 822344, PHILADELPHIA, PA 19182-2344
(314) 991-0985
(908) 653-9305
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R9D55
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36094284
MEDICAL LICENSE
IL
01
—
R9D55
MEDICAL LICENSE
MO
Enumeration date
03/05/2007
Last updated
07/08/2007
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