Organization
DJ WINDER MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENIS JORDAN WINDER M.D. (CEO)
(970) 259-3818
Entity
Organization
Contact information
Practice address
316 SAWYER DR, DURANGO, CO 81303-6560
(970) 259-3818
(970) 259-9553
Mailing address
316 SAWYER DR, DURANGO, CO 81303-6560
(970) 259-3818
(970) 259-9553
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
24411
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01244110
—
CO
01
—
97381
BLUE CROSS BLUE SHIELD
—
01
—
M22739
WORK COMP
—
01
—
Y789
NEW MEXICO BCBS
NM
Enumeration date
11/18/2011
Last updated
11/18/2011
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