Provider Demographics
NPI:1730168238
Name:WELLS, ARTHUR FRED JR (MD)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:FRED
Last Name:WELLS
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1285 WHIPPOORWILL DR
Mailing Address - Street 2:
Mailing Address - City:CANTONMENT
Mailing Address - State:FL
Mailing Address - Zip Code:32533-3803
Mailing Address - Country:US
Mailing Address - Phone:850-474-3906
Mailing Address - Fax:
Practice Address - Street 1:220 HOVEY RD
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32508-1044
Practice Address - Country:US
Practice Address - Phone:850-452-2157
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME00636682083A0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
1998F206020OtherTPIN