Provider Demographics
NPI:1881316321
Name:WELLS, MAURICE LEONARD (DACHM)
Entity type:Individual
Prefix:DR
First Name:MAURICE
Middle Name:LEONARD
Last Name:WELLS
Suffix:
Gender:M
Credentials:DACHM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1660 S ALMA SCHOOL RD STE 117
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85210-3071
Mailing Address - Country:US
Mailing Address - Phone:623-283-7629
Mailing Address - Fax:
Practice Address - Street 1:1660 S ALMA SCHOOL RD STE 117
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-3071
Practice Address - Country:US
Practice Address - Phone:623-283-7629
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-12
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLAC-011393171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty