Provider Demographics
NPI:1912098476
Name:WINSKY, ROBERT L JR (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:L
Last Name:WINSKY
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:630 S CRAYCROFT RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-7108
Mailing Address - Country:US
Mailing Address - Phone:520-977-0412
Mailing Address - Fax:520-577-8995
Practice Address - Street 1:630 S CRAYCROFT RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-7108
Practice Address - Country:US
Practice Address - Phone:520-577-8999
Practice Address - Fax:520-577-8995
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ129832084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ26-3326303OtherTAX ID NUMBER