DR. Thad Dustin Wells, OD

NPI #1467681395 in Russellville, Kentucky

Provider Information

NPI Number: 1467681395
Entity Type: Individual
Name: DR. Thad Dustin Wells, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jul 13, 2009
Last Updated: Oct 2, 2012

Practice Location

Address: 105 ROBINS WAY
Address 2: SUITE 206
City: Russellville
State: Kentucky
ZIP Code: 42276-1129
Phone: (270) 726-2022

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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