Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | 21174 | CA |
NPI | 1730369695 |
---|---|
Provider Name | Scott H Winkler |
First Address | Arcata, CA 95521 |
Second Address | Arcata, CA 95521-5586 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2007 |
Last Update Date | 09/11/2007 |