T.a. Jantz, D.o., P.c.

NPI #1114107323 in Phoenix, Arizona

Provider Information

NPI Number: 1114107323
Entity Type: Organization
Organization Name: T.a. Jantz, D.o., P.c.
Primary Specialty: Surgery
Enumeration Date: Nov 6, 2007
Last Updated: Nov 6, 2007

Practice Location

Address: 1008 E MCDOWELL RD
City: Phoenix
State: Arizona
ZIP Code: 85006-2603
Phone: (602) 258-7003

Authorized Official

Name: DR. THEOPHIL JANTZ, D.O.
Title: PHYSICIAN
Phone: (602) 258-7003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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