Organization
OURHEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY M WELLS M.D. (PRESIDENT)
(317) 522-0823
Entity
Organization
Contact information
Practice address
399 MARKET ST, SUITE 110, PHILADELPHIA, PA 19106-2117
(215) 268-5888
Mailing address
1 AMERICAN SQ, SUITE 2610, INDIANAPOLIS, IN 46282-0020
(317) 522-0823
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/05/2012
Last updated
03/05/2012
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