Individual
MARION WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
770 SIMMS ST, GOLDEN, CO 80401-4702
(303) 239-6060
Mailing address
770 SIMMS ST, GOLDEN, CO 80401-4702
(303) 239-6060
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
896
CO
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
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