Organization
RYAN D WELLS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN D. WELLS M.D. (PRESIDENT)
(210) 347-6715
Entity
Organization
Contact information
Practice address
3901 LAS POSAS RD, SUITE 17, CAMARILLO, CA 93010-1501
(805) 388-2068
(805) 484-7700
Mailing address
3901 LAS POSAS RD, SUITE 17, CAMARILLO, CA 93010-1501
(805) 388-2068
(805) 484-7700
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ND0900X
Dermatopathology Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
04/27/2012
Last updated
05/01/2012
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