Watie Wells JR.

NPI #1568974228 in Shawnee, Oklahoma

Provider Information

NPI Number: 1568974228
Entity Type: Individual
Name: Watie Wells JR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Nov 2, 2017
Last Updated: Jan 18, 2026

Practice Location

Address: 318 N BROADWAY AVE
City: Shawnee
State: Oklahoma
ZIP Code: 74801-6920
Phone: (405) 702-3405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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