JOHNNY STEPHEN BELL

ILWACO, WA
NPI1356362081
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  OP00001380)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: WA  OP00001380)
Enumeration Date2006-07-21
Last Update Date2015-11-03
Business Address
-- JOHNNY STEPHEN BELL DO
117 SPRUCE ST.
ILWACO, WA 98624-0000
Phone number: 360-642-2662
Mailing Address
-- JOHNNY STEPHEN BELL DO
PO BOX 500
TOKELAND, WA 98590-0500
Phone number: 360-267-8138