Basic Information
| Provider Information | |||||||||
| NPI: | 1154535953 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BELL | ||||||||
| FirstName: | MATTHEW | ||||||||
| MiddleName: | CORT | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 700 S 52ND ST | ||||||||
| Address2: | |||||||||
| City: | ROGERS | ||||||||
| State: | AR | ||||||||
| PostalCode: | 727588605 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4794648887 | ||||||||
| FaxNumber: | 4794649949 | ||||||||
| Practice Location | |||||||||
| Address1: | 700 S 52ND ST | ||||||||
| Address2: | |||||||||
| City: | ROGERS | ||||||||
| State: | AR | ||||||||
| PostalCode: | 727588605 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4794648887 | ||||||||
| FaxNumber: | 4794649949 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/10/2007 | ||||||||
| LastUpdateDate: | 07/24/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080P0201X | E-7975 | AR | Y | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Allergy/Immunology |
No ID Information.