# RALPH J WENTZ DPM PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538338314
- **Authorized official:** DR. RALPH J WENTZ JR. DPM (OWNER)
- **Authorized official phone:** (719) 539-6600

## Contact information

- **Practice address:** 920 RUSH DR, SALIDA, CO 81201-9669
- **Practice address phone:** (719) 539-6600
- **Practice address fax:** (719) 539-6606
- **Mailing address:** PO BOX 456, SALIDA, CO 81201-0456
- **Mailing address phone:** (719) 539-6600
- **Mailing address fax:** (719) 539-6606

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 02/26/2008
- **Last updated:** 05/12/2011
