Individual provider · Type 1 NPI

Mark R. Wells, PAC

Medical Physician Assistant · Stroudsburg, PA

NPI number 1407004344 Active

Practice location

208 Lifeline Rd, Ste 201
Stroudsburg, PA 18360-7566

Fax (570) 476-0124

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA053486 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1407004344

Mark R. Wells, PAC's National Provider Identifier is 1407004344, issued on Sep 4, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Stroudsburg, PA. The record was last updated on May 21, 2013.