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Jordan Wells

NPI 1043971815 · on the registry since 2022 · sole proprietor

Practice

Address
3437 Caroline St
Saint Louis, MO 63104
Phone
(971) 275-7979
Clinicians at this address
37

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
390200000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-03-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri