Individual
ROBERT STACY WELLS
Active
Individual
ROBERT STACY WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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