Individual
DR. JEFFREY WENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
559 VINCENT ST, SPACE BASE DELTA 1, PETERSON SPACE FORCE BASE, CO 80914
(719) 556-7804
Mailing address
559 VINCENT ST, SPACE BASE DELTA 1, PETERSON SPACE FORCE BASE, CO 80914
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
29778
NE
2084P0800X
Psychiatry Physician
Primary
DR.0065509
CO
Other
Enumeration date
02/06/2015
Last updated
04/24/2026
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