person
Becky J Wells, PAC
Medical Physician Assistant in Meridian, Idaho
NPI 1780617811

Becky J Wells is a Medical Physician Assistant based in Boise, ID and is specialized in Medical. Becky J Wells practices in Meridian, ID and has the professional credentials of PAC. The NPI Number for Becky J Wells is 1780617811 and holds a License No. PA-839 (Idaho).

The current practice location address for Becky J Wells is 260 S Ten Mile Rd, Meridian, ID and can be reached out via phone at 208-809-2872 and via fax at 208-809-2873.

Location: 260 S Ten Mile Rd, Meridian, ID, 83719-1050
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Provider Profile Details
NPI Number
1780617811
Provider Name
Becky J Wells
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
260 S Ten Mile Rd, Meridian, ID, 83719-1050
Phone Number
208-809-2872
Fax Number
208-809-2873
Provider Enumeration Date
07/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
808592100 05 ID
institution
Provider Business Practice Location Address Details
Address
260 S Ten Mile Rd
City
State
Zip
83642-6100
Phone Number
208-809-2872
Fax Number
208-809-2873
person
Provider Business Mailing Address Details
Address
260 S Ten Mile Rd
City
State
Zip
83642-6100
Phone Number
208-809-2872
Fax Number
208-809-2873
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA-839 (Idaho)
Definition
Definition to come...
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