Provider / Organization | NPI | Date Certified |
---|---|---|
DAVID TYLER WELLS | 1437733136 | 2021-05-09 |
David Tyler Wells is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1437733136. Registration indicates David Tyler Wells is a provider of services with a specialization in Emergency Medicine (Allopathic & Osteopathic Physicians, Emergency Medicine) (All Other Specialties & Provider Types, ) (Emergency Medicine, Allopathic & Osteopathic Physicians)
Entity Type | Individual |
Provider Name | David Tyler Wells MD |
Practice Office Address | 1906 BELLEVIEW AVE SE ROANOKE, VA US |
Practice Office Telephone | 5409817000 |
Mailing Address | 213 S JEFFERSON ST STE 1006 ROANOKE, VA 240111713 US |
Code | Practice | License No State |
---|---|---|
207P00000X PRIMARY | Emergency Medicine Allopathic & Osteopathic Physicians Emergency Medicine All Other Specialties & Provider Types Emergency Medicine Allopathic & Osteopathic Physicians | 0116035221
VA |