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Individual

ERIC C WELLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7160 RAFAEL RIVERA WAY STE 210, LAS VEGAS, NV 89113-5395
(702) 878-0070
(702) 209-2064
Mailing address
PO BOX 840857, DALLAS, TX 75284-0857
(725) 204-4632
(702) 805-0307

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
173723-1205
UT
207L00000X
Anesthesiology Physician
Primary
21971
NV
207L00000X
Anesthesiology Physician
A48457
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001609400
ID
05
100502002
NV
01
107006520102
IHC
UT
05
119018100
WY
01
1502954
UMWA
UT
01
2090168
UNITED HEALTHCARE
UT
01
21041
DESERET MUTUAL
UT
01
453
HEALTHY U
UT
01
73549
PEHP
UT
05
828527
AZ
01
870545614WE2
EDUCATORS MUTUAL
UT
01
PRA01662
MOLINA
UT
01
QM0000075886
ALTIUS
UT
Enumeration date
09/01/2006
Last updated
08/04/2022
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