Basic Information
Provider Information
NPI: 1609209683
EntityType: 2
ReplacementNPI:  
OrganizationName: CARDIN H BELL MD PC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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Mailing Information
Address1: PO BOX 1847
Address2:  
City: GILBERT
State: AZ
PostalCode: 852991847
CountryCode: US
TelephoneNumber: 4805072961
FaxNumber: 4805072971
Practice Location
Address1: 3580 W 9000 S
Address2:  
City: WEST JORDAN
State: UT
PostalCode: 840888812
CountryCode: US
TelephoneNumber: 8015624293
FaxNumber: 8015624293
Other Information
ProviderEnumerationDate: 08/14/2013
LastUpdateDate: 07/01/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: BELL
AuthorizedOfficialFirstName: CARDIN
AuthorizedOfficialMiddleName: H
AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 8017219878
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X7498338-1205UTY193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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