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GARY B WELLS MD PLLC NPI 1811173263


NPI Information

NPI: 1811173263
Provider Name: GARY B WELLS MD, PLLC
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
628 HOSPITAL DR
MOUNTAIN HOME, AR
ZIP 72653
Phone: (870) 424-2200
Get Directions

GARY B WELLS MD, PLLC is a radiation oncology radiology in Mountain Home, AR. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. GARY B WELLS MD, PLLC NPI is 1811173263. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

628 HOSPITAL DR
MOUNTAIN HOME, AR
ZIP 72653-953
Phone: (870) 424-2200

The provider's authorized official is Gary B Wells .
The authorized official title is Owner and has the following contact phone number (870) 424-7070.

The enumeration date for this NPI number is 1/16/2008 and was last updated on 2/26/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0001XRadiologyRadiation OncologyN7796ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15F917OTHERARKANSASBLUECROSS BLUE SHIELD
253096MEDICARE PINARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.