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NPI Code Detail

MEDICARE: DR. CHRISTOPHER D WELLS M.D.

MEDICARE:  DR. CHRISTOPHER D WELLS  M.D.
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
1207RG0100XGastroenterology Physician32871AZ
2207RG0100XGastroenterology PhysicianME0098480FL

General Provider Information

NPI Number : 1285618454
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER D WELLS M.D.
Provider Business Mailing Address
First Line : 204 E 19TH ST
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-4707
Country : US
Telephone Number : 850-763-5409
Fax Number : 850-522-6103
Provider Business Practice Location Address
First Line : 204 E 19TH ST
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-4707
Country : US
Telephone Number : 850-763-5409
Fax Number : 850-522-6103
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2005
Last Update Date : 02/22/2022

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Directions to “ DR. CHRISTOPHER D WELLS M.D.” Practice Location

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