Individual
DR. PHILLIP R WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26726 CROWN VALLEY PKWY., SUITE 200, HEAD & NECK ASSOCIATES OF ORANGE COUNTY, MISSION VIEJO, CA 92691
(949) 364-4361
(949) 364-4495
Mailing address
26726 CROWN VALLEY PKWY., SUITE 200, HEAD & NECK ASSOCIATES OF ORANGE COUNTY, MISSION VIEJO, CA 92691
(949) 364-4361
(949) 364-4495
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G80312
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G803120
—
CA
01
—
G80312
LICENSE
CA
Enumeration date
05/31/2005
Last updated
11/26/2008
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