Individual
DR. RALPH J WENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
920 RUSH DR, SALIDA, CO 81201-9669
(719) 539-6600
(719) 539-6606
Mailing address
PO BOX 456, SALIDA, CO 81201-0456
(719) 539-6600
(719) 539-6606
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD.0000429
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01004290
—
CO
Enumeration date
07/18/2005
Last updated
04/19/2018
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