Healthcare Provider Details

I. General information

NPI: 1619314572
Provider Name (Legal Business Name): RALPH WINKLER JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2013
Last Update Date: 10/14/2024
Certification Date: 10/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5310 S WASHINGTON ST
LITTLETON CO
80121-1046
US

IV. Provider business mailing address

5310 S WASHINGTON ST
LITTLETON CO
80121-1046
US

V. Phone/Fax

Practice location:
  • Phone: 720-244-4163
  • Fax: 844-497-6400
Mailing address:
  • Phone: 720-244-4163
  • Fax: 844-497-6400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246ZS0410X
TaxonomySurgical Technologist
License NumberSA0001732
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License NumberSA.0001732
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: