Doctor Name: | DR. JOHN J WELLS |
NPI Number: | 1043214422 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 14097 |
Business Practice Address: | 3815 E Bell Rd Ste 1250 Phoenix, AZ - 850322122 |
Business Phone Number: | 6024933030 |
Business Fax Number: | 6024930064 |
Mailing Address: | 3707 N 7th St, Ste. 200 PHOENIX |
State: | AZ |
Postal Code: | 850145095 |
Phone Number: | 6022793575 |
Fax Number: | 6022792066 |
NPI Enumeration Date: | 06/13/2005 |
NPI Last Update Date: | 04/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 14097 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |