Individual
DR. JANE CAMERSON WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.H.S.
Contact information
Practice address
700 SOUTH AVE W, SUITE B, MISSOULA, MT 59801-8000
(406) 541-6220
(406) 541-6221
Mailing address
700 SOUTH AVE W, SUITE B, MISSOULA, MT 59801-8000
(406) 541-6220
(406) 541-6221
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
9676
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
92961
BCBS PROVIDER NUMBER
MT
Enumeration date
11/30/2006
Last updated
07/08/2007
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