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1568634855
ADAM WELLER
MCCALL, ID
NPI
1568634855
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: ID M-12492)
Enumeration Date
2008-03-27
Last Update Date
2016-02-11
Business Address
Dr. ADAM WELLER M.D.
1000 STATE ST
MCCALL, ID 83638-3704
Phone number: 208-634-2221
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Mailing Address
Dr. ADAM WELLER M.D.
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-634-2221
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