Organization
GARY B WELLS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY B WELLS MD (PRESIDENT)
(870) 424-2200
Entity
Organization
Contact information
Practice address
622 HOSPITAL DR, MOUNTAIN HOME, AR 72653-2915
(870) 424-2200
(870) 424-6616
Mailing address
622 HOSPITAL DR, MOUNTAIN HOME, AR 72653-2915
(870) 424-2200
(870) 424-6616
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
N7796
AR
Other
Enumeration date
07/15/2016
Last updated
07/15/2016
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