NPI 1457475840 · live from the CMS NPI Registry
Thomas Tarry Wells, M.D.
Radiology, Diagnostic Radiology in Homer, AK. National Provider Identifier 1457475840, active.
NPI record
| NPI | 1457475840 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 4300 Bartlett St, Homer, AK 99603 |
| Practice phone | 907-234-0362 |
| Mailing address | Po Box 3290, Homer, AK 99603 |
| Enumerated | March 19, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 2646 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.