Individual
LANCE WINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
20401 N 73RD ST STE 140, SCOTTSDALE, AZ 85255-4148
(602) 923-8500
Mailing address
20401 N 73RD ST STE 140, SCOTTSDALE, AZ 85255-4148
(602) 923-8500
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
4408
AZ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
OS13477
FL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
P7228
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094452
—
AZ
01
—
Z190047
MEDICARE
AZ
Enumeration date
05/09/2006
Last updated
01/29/2023
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