Individual
DUSTY WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 E HIGHWAY 33, PERKINS, OK 74059-4520
(405) 547-2473
Mailing address
505 E HIGHWAY 33, PERKINS, OK 74059-4520
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/12/2024
Last updated
03/12/2026
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