Organization
SARA A. WELLS, M.D., A PROFESSIONAL CORPORATION
Active
Parent organization
SARA A. WELLS, M.D. A PROFESSIONAL CORPORATION
Other names
parleys medical
Organization subpart
Yes
Provider details
NPI number
Legal business name
SARA A. WELLS, M.D. A PROFESSIONAL CORPORATION
Authorized official
SARA A WELLS MD (PRESIDENT)
(801) 474-0355
Entity
Organization
Contact information
Practice address
2131 E 2100 S, SALT LAKE CITY, UT 84109-1128
(801) 474-0355
(801) 485-8007
Mailing address
2131 E 2100 S, SALT LAKE CITY, UT 84109-1128
(801) 474-0355
(801) 485-8007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
953098541205
UT
261QP2300X
Primary Care Clinic/Center
953098541205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528395226006
—
UT
01
—
DP8219
RR MEDICARE
UT
Enumeration date
06/15/2009
Last updated
03/26/2014
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