Provider Demographics
NPI:1104850643
Name:WINTER, JOHN T (DO)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:T
Last Name:WINTER
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:7580 N LA CHOLLA BLVD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85741-2307
Mailing Address - Country:US
Mailing Address - Phone:520-547-2517
Mailing Address - Fax:520-547-2518
Practice Address - Street 1:6200 N LA CHOLLA BLVD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-3529
Practice Address - Country:US
Practice Address - Phone:520-469-8014
Practice Address - Fax:520-469-8009
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2011-01-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ1712207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ235524OtherAHCCCS
AZ235524OtherAHCCCS
D47208Medicare UPIN
28019Medicare PIN