Individual
DAWNA L WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2900 12TH AVE N, STE 160W, BILLINGS, MT 59101-7506
(406) 238-6290
(406) 238-6961
Mailing address
PO BOX 30976, BILLINGS, MT 59107-0976
(406) 238-6290
(406) 238-6961
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
77
MT
363AM0700X
Medical Physician Assistant
Primary
77
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000900293
BLUE CROSS
MT
05
—
1669405809
—
MT
01
—
972121040206
PREFERRED ONE
—
01
—
P00406980
RAILROAD MEDICARE MT
MT
Enumeration date
07/09/2006
Last updated
10/31/2007
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