Individual
DR. LARRY RAY WELLING
Active
Individual
DR. LARRY RAY WELLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2000-308
NM
2083X0100X
Occupational Medicine Physician
Primary
2000-308
NM
208D00000X
General Practice Physician
2000-308
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A2516
—
NM
Enumeration date
09/13/2006
Last updated
10/15/2018
Update your record
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