Doctor Name: | DR. JAMES DARRICK WELLS |
NPI Number: | 1326090804 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | G078059 |
Business Practice Address: | 1233 Rose Ave Selma, CA - 936623227 |
Business Phone Number: | 5598912333 |
Business Fax Number: | 5598912336 |
Mailing Address: | 1233 Rose Ave, SELMA |
State: | CA |
Postal Code: | 936623227 |
Phone Number: | 5598912333 |
Fax Number: | 5598912336 |
NPI Enumeration Date: | 05/16/2006 |
NPI Last Update Date: | 05/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | G078059 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |