Individual
DR. DEBRA M PENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
6001
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150605
1ST HEALTH
AZ
01
—
5469728
CCN
AZ
01
—
AZ0248720
BCBS
AZ
Enumeration date
01/03/2007
Last updated
07/21/2022
Update your record
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