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Blake Wells
NPI 1588007256 · on the registry since 2013
Practice
- Address
- 7887 Ditter Ridge Road
Dittmer, MO 63023 - Phone
- (636) 274-5327
- Fax
- (636) 274-0413
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-04-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri