Roy Wells JR., PAC

NPI #1215939079 in Swanton, Vermont

Provider Information

NPI Number: 1215939079
Entity Type: Individual
Name: Roy Wells JR., PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Aug 11, 2005
Last Updated: Oct 15, 2007

Practice Location

Address: 45 CHURCH ST
City: Swanton
State: Vermont
ZIP Code: 05488-1434
Phone: (802) 868-2454

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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