MEDICARE: BRITTON C WELLS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	35.087310	OH
2	207X00000X	Orthopaedic Surgery Physician	M12897	ID
3	207X00000X	Orthopaedic Surgery Physician	A78982	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00A789820	OTHER	CA	MEDICAL
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245210400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTON C WELLS MD

Provider Business Mailing Address
First Line	:	190 E BANNOCK ST
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83712-6241
Country	:	US
Telephone Number	:	208-706-8526
Fax Number	:

Provider Business Practice Location Address
First Line	:	703 S AMERICANA BLVD
Second Line	:	SUITE #120
City	:	BOISE
State	:	ID
Zip	:	83702-5099
Country	:	US
Telephone Number	:	208-323-2600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2006
Last Update Date	:	02/01/2016

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Directions to “ BRITTON C WELLS MD” Practice Location

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