Rudolph Richard Wencl, PA-C
Physician Assistant in Colorado Springs, CO. Individual provider (NPI-1).
NPI number1184784530
StatusActive
Last updated in NPPESSep 24, 2026
Details
- NPI
- 1184784530
- Entity type
- Individual (NPI-1)
- Name
- Mr. Rudolph Richard Wencl
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 8, 2006
- Certification date
- Sep 24, 2026
- Last updated
- Sep 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA.0001485 | CO | Yes |
Practice location
2610 Tenderfoot Hill StColorado Springs, CO 80906-3981
Phone 719-522-1133
Mailing address
Po Box 35380Las Vegas, NV 89133-5380
Phone 702-579-3203
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