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ROBERT STACY WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7500 STATE RD, CINCINNATI, OH 45255-2439
(859) 341-7246
(859) 341-7867
Mailing address
20 MEDICAL VILLAGE DR, SUITE 258, EDGEWOOD, KY 41017-5401
(859) 341-7246
(859) 341-7867

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35079356W
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000365663
ANTHEM BLUE SHIELD
05
200522800
IN
05
2572167
OH
01
614549
WELLCARE
KY
05
64259229
KY
01
7283490
AETNA
01
731345
BUCKEYE
Enumeration date
11/18/2005
Last updated
11/08/2011
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