Individual
STANLEY DALE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
416 TIERRA BELLA DR, ALAMOGORDO, NM 88310-9673
(316) 734-2502
Mailing address
416 TIERRA BELLA DR, ALAMOGORDO, NM 88310-9673
(316) 734-2502
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2003-0257
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
98338731
—
NM
Enumeration date
08/02/2006
Last updated
04/08/2024
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