Individual provider · NPI-1
Dr. Jeffery Wells, MD
Otolaryngology · Mayfield Heights, OH
NPI number1023628666
StatusActive
Last updated in NPPESMar 19, 2023
Details
- NPI
- 1023628666
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jeffery Wells
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2020
- Certification date
- Mar 19, 2023
- Last updated
- Mar 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | 35.142601 | OH | Yes |
| 207Y00000X | Otolaryngology | MD470207 | PA |
Practice location
6780 Mayfield RdMayfield Heights, OH 44124-2203
Phone 440-312-7831
Mailing address
6780 Mayfield Rd Ste 441Mayfield Heights, OH 44124-2203
Phone 440-312-7831
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