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Organization

PHYSICIAN BUSINESS SERVICES, LLC

Active
Other names
Prescott Mile High Primary Care
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DIETER W. KRANTZ (VICE PRESIDENT)
(928) 772-2591
Entity
Organization

Contact information

Practice address
1040 WHIPPLE ST, SUITE 209, PRESCOTT, AZ 86305-1613
(928) 776-6400
(928) 776-6410
Mailing address
3051 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-2248
(928) 772-2500
(928) 775-0021

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
553653
AZ
Enumeration date
08/23/2005
Last updated
08/30/2007
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