Organization
T A JANTZ DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEOPHIL A JANTZ III D.O. (PRESIDENT)
(480) 656-0016
Entity
Organization
Contact information
Practice address
16100 N 71ST ST, SUITE 100, SCOTTSDALE, AZ 85254-2209
(480) 656-0016
(480) 634-1723
Mailing address
PO BOX 34120, RENO, NV 89533-4120
(775) 747-5050
(775) 326-8298
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4667
AZ
Other
Enumeration date
03/31/2009
Last updated
03/31/2009
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