Organization
MARK ALAN WELLEK MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ALAN WELLEK M.D. (OWNER)
(602) 955-1070
Entity
Organization
Contact information
Practice address
4202 N 32ND ST, STE G, PHOENIX, AZ 85018-4746
(602) 955-1070
(602) 957-9614
Mailing address
4202 N 32ND ST, STE G, PHOENIX, AZ 85018-4746
(602) 955-1070
(602) 957-9614
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LCSW-0460
AZ
2084P0800X
Psychiatry Physician
Primary
AZ6416
AZ
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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