Individual
MR. CLIFFORD F WELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
32-36 CENTRAL AVE, WELLSBORO, PA 16901-1840
(570) 723-0340
(570) 723-8087
Mailing address
32-36 CENTRAL AVE, WELLSBORO, PA 16901-1840
(570) 723-0340
(570) 723-8087
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS011058L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018551790001
—
PA
Enumeration date
07/03/2006
Last updated
07/15/2008
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