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Individual

JOHN T WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
3093607-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09-00530
UNITED HEALTHCARE
UT
01
107008868103
IHC
UT
01
215813
ALTIUS
UT
01
639605
DMBA
UT
01
79372
PEHP
UT
05
870281028000
UT
01
870281028JTW
EMIA
UT
01
P00162397
PALMETTO
UT
Enumeration date
09/27/2006
Last updated
11/27/2023
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