Individual
RICHARD BRUCE WINTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 314-1107
Mailing address
411 WINCREST CIR, POTEAU, OK 74953-5443
(918) 647-8392
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E-0786
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05006641237
—
OK
05
—
120590001
—
AR
Enumeration date
07/05/2006
Last updated
09/20/2012
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