Individual
DR. ERIC DONALD WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20055 LAKE CHABOT RD, #320, CASTRO VALLEY, CA 94546
(510) 889-8900
(510) 727-9811
Mailing address
20055 LAKE CHABOT RD, #320, CASTRO VALLEY, CA 94546
(510) 889-8900
(510) 727-9811
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G51925
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G519250
—
CA
Enumeration date
07/28/2006
Last updated
07/11/2007
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