Individual
PRESTON WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11112 WOODBRIDGE RD, OKLAHOMA CITY, OK 73162-4903
(405) 394-8110
Mailing address
11112 WOODBRIDGE RD, OKLAHOMA CITY, OK 73162-4903
(405) 394-8110
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
J081897227
OK
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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