Organization
PHYSICIAN BUSINESS SERVICES LLC
Active
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) 772-6410
Mailing address
1040 WHIPPLE ST, SUITE 209, PRESCOTT, AZ 86305-1613
(928) 776-6400
(928) 772-6410
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
AZ
207R00000X
Internal Medicine Physician
Primary
—
AZ
208000000X
Pediatrics Physician
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
553653
—
AZ
Enumeration date
08/17/2005
Last updated
09/11/2025
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