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Individual

DR. RYAN D WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
168 N BRENT ST STE 403B, VENTURA, CA 93003-2824
(805) 948-6920
(805) 948-1501
Mailing address
5855 OLIVAS PARK DR, VENTURA, CA 93003-7672
(805) 948-2801
(805) 667-2865

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A73951
CA
207ND0101X
MOHS-Micrographic Surgery Physician
A73951
CA
207ND0900X
Dermatopathology Physician
A73951
CA
207NS0135X
Procedural Dermatology Physician
A73951
CA

Other

Enumeration date
02/07/2006
Last updated
10/04/2022
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