Provider Demographics
NPI:1275978371
Name:WELLS, LEIGH S (DO)
Entity Type:Individual
Prefix:
First Name:LEIGH
Middle Name:S
Last Name:WELLS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1622 E TURKEYFOOT LAKE RD
Mailing Address - Street 2:ACHP GREEN
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44312-5277
Mailing Address - Country:US
Mailing Address - Phone:330-899-5437
Mailing Address - Fax:330-899-5447
Practice Address - Street 1:1622 E TURKEYFOOT LAKE RD
Practice Address - Street 2:ACHP GREEN
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44312-5277
Practice Address - Country:US
Practice Address - Phone:330-899-5437
Practice Address - Fax:330-899-5447
Is Sole Proprietor?:No
Enumeration Date:2013-05-02
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH34.012076208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics