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Individual

DYLAN ROBERT WELLS SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
150 SOUTH INGLESIDE, STE 6, FAIRHOPE, AL 36532
(251) 928-1222
(251) 928-2398
Mailing address
PO BOX 8159, MOBILE, AL 36689-0159
(251) 300-2197
(251) 414-5809

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
00026768
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009932902
AL
Enumeration date
04/28/2006
Last updated
08/10/2010
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