Provider Demographics
NPI:1013033471
Name:MED-WELL INC.
Entity Type:Organization
Organization Name:MED-WELL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:PALMIERI
Authorized Official - Suffix:JR
Authorized Official - Credentials:CSCS
Authorized Official - Phone:303-699-8383
Mailing Address - Street 1:13741 E RICE PL
Mailing Address - Street 2:#105
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-1061
Mailing Address - Country:US
Mailing Address - Phone:303-699-8383
Mailing Address - Fax:303-690-3505
Practice Address - Street 1:13741 E RICE PL
Practice Address - Street 2:#105
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-1061
Practice Address - Country:US
Practice Address - Phone:303-699-8383
Practice Address - Fax:303-690-3505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty