Healthcare Provider Details

I. General information

NPI: 1689796013
Provider Name (Legal Business Name): ZACHARY J. WELLS D.C. PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2007
Last Update Date: 11/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3170 W CAREFREE HWY SUITE 5
PHOENIX AZ
85086-3205
US

IV. Provider business mailing address

150 E SHARON AVE
PHOENIX AZ
85022-4731
US

V. Phone/Fax

Practice location:
  • Phone: 623-587-9036
  • Fax: 623-587-9250
Mailing address:
  • Phone: 623-217-3586
  • Fax: 866-821-3750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number7137
License Number StateAZ

VIII. Authorized Official

Name: DR. ZACHARY J. WELLS
Title or Position: OWNER
Credential: D.C.
Phone: 623-217-3586