Individual
RICARDO WYNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1600 NORTH MAIN, LOVINGTON, NM 88260-2830
(575) 396-6611
(575) 396-1454
Mailing address
1600 NORTH MAIN, LOVINGTON, NM 88260-2830
(575) 396-6611
(575) 396-1454
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2014-0096
NM
363A00000X
Physician Assistant
PA9103250
FL
Other
Enumeration date
03/14/2006
Last updated
01/08/2015
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