Individual
BRITTON C WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
703 S AMERICANA BLVD, SUITE #120, BOISE, ID 83702-5099
(208) 323-2600
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 706-8526
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
35.087310
OH
207X00000X
Orthopaedic Surgery Physician
A78982
CA
207X00000X
Orthopaedic Surgery Physician
Primary
M12897
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A789820
MEDICAL
CA
05
—
136043001
—
CA
Enumeration date
01/21/2006
Last updated
02/01/2016
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