Individual
PERRY C WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
607 E MAPLE, SPRINGDALE, AR 72764
(479) 751-5711
Mailing address
PO BOX 6622, SPRINGDALE, AR 72766
(479) 442-0716
(479) 442-0218
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C00599
AR
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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