Provider Demographics
NPI:1851519979
Name:WELLS, RICK SCOTT (DVM)
Entity Type:Individual
Prefix:
First Name:RICK
Middle Name:SCOTT
Last Name:WELLS
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 S MILL AVE
Mailing Address - Street 2:STE 324
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-4960
Mailing Address - Country:US
Mailing Address - Phone:480-966-0391
Mailing Address - Fax:480-966-7302
Practice Address - Street 1:3400 S MILL AVE
Practice Address - Street 2:STE 324
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-4960
Practice Address - Country:US
Practice Address - Phone:480-966-0391
Practice Address - Fax:480-966-7302
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1237174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian