Individual
MR. FRANTZ FORBES DESPAS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
400 N MOUNTAIN AVE, SUITE 310, UPLAND, CA 91786-5176
(909) 920-0876
(909) 946-4926
Mailing address
400 N MOUNTAIN AVE, SUITE 310, UPLAND, CA 91786-5176
(909) 920-0876
(909) 946-4926
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA20636
CA
363AS0400X
Surgical Physician Assistant
PA20636
CA
Other
Enumeration date
01/19/2010
Last updated
04/13/2015
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