Individual
MR. MARK LEE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
411 W GRAND AVE, CHICKASHA, OK 73018-5862
(405) 224-0053
Mailing address
411 W GRAND AVE, CHICKASHA, OK 73018-5862
(405) 224-0053
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1099
OK
Other
Enumeration date
02/03/2006
Last updated
07/23/2026
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