Individual
DR. ROBERT RICHARD WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1016 TACOMA AVE, SUNNYSIDE, WA 98944
(509) 837-1500
Mailing address
1016 TACOMA AVE, SUNNYSIDE, WA 98944-2263
(760) 987-4599
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
0101262558
VA
207V00000X
Obstetrics & Gynecology Physician
42373
MN
207V00000X
Obstetrics & Gynecology Physician
Primary
MD60532206
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101262558
STATE LICENSE
VA
01
—
42373
STATE LICENSE
MN
01
—
D84012
STATE LICENSE
MD
01
—
MD60532206
STATE LICENSE
WA
Enumeration date
05/04/2006
Last updated
04/03/2019
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