| Doctor Name: | MR. ALAN DAVID BELCH |
| NPI Number: | 1639244296 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | PA15964 |
| Business Practice Address: | 305 Preston Ave Ione, CA - 95642 |
| Business Phone Number: | 2097742183 |
| Business Fax Number: | 2092740634 |
| Mailing Address: | Po Box 1580, 305 Preston Ave Prime Med Clinic IONE |
| State: | CA |
| Postal Code: | 95640 |
| Phone Number: | 2092742183 |
| Fax Number: | 2092740634 |
| NPI Enumeration Date: | 11/21/2006 |
| NPI Last Update Date: | 06/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA15964 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |