Mark Lee Wells, PA Valid NPI

Individual provider · Physician Assistant · Edmond, OK

NPI

1821060849

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

1099 (OK)

Sex

Male

Sole proprietor

No

Enumerated

2006-02-03

Last updated

2024-02-17