Individual
DR. MARK T WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1200 E PERSHING BLVD, CHEYENNE, WY 82001-3230
(307) 638-6610
(307) 638-6451
Mailing address
1200 E PERSHING BLVD, CHEYENNE, WY 82001-3230
(307) 638-6610
(307) 638-6451
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
196T
WY
Other
Enumeration date
09/19/2005
Last updated
09/18/2007
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