Individual
DR. BRENDA SUE WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2918 E BATTLEFIELD ST, SPRINGFIELD, MO 65804
(417) 833-1100
(417) 720-1132
Mailing address
2918 E BATTLEFIELD ST, SPRINGFIELD, MO 65804-4016
(417) 833-1100
(417) 720-1132
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
107139
MO
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
107139
MO
Other
Enumeration date
05/29/2007
Last updated
01/09/2019
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