Provider Demographics
NPI:1629240445
Name:ROCKY MOUNTAIN SLEEP CONSULTANTS, INC.
Entity Type:Organization
Organization Name:ROCKY MOUNTAIN SLEEP CONSULTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:WENOKOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-541-9557
Mailing Address - Street 1:3445 PENROSE PL
Mailing Address - Street 2:SUITE 130
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-1878
Mailing Address - Country:US
Mailing Address - Phone:303-541-9557
Mailing Address - Fax:
Practice Address - Street 1:3445 PENROSE PL
Practice Address - Street 2:SUITE 130
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-1878
Practice Address - Country:US
Practice Address - Phone:303-541-9557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-01
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO314792084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep MedicineGroup - Single Specialty