Individual
GARY W. WELLS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1200 N MUSKOGEE PL, CLAREMORE, OK 74017-3058
(918) 341-2556
Mailing address
PO BOX 269024, OKLAHOMA CITY, OK 73126-9024
(866) 321-8433
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
4000
OK
Other
Enumeration date
09/23/2005
Last updated
07/08/2007
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