Theophil Jantz, D.o., INC

NPI #1902017932 in Fort Bragg, California

Provider Information

NPI Number
1902017932
Entity Type
Organization
Organization Name
Theophil Jantz, D.o., INC
Primary Specialty
Surgery
Enumeration Date
May 24, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
721 RIVER DR
Address 2
STE B
ZIP Code
95437
Phone
(775) 747-5050

Authorized Official

Name
THEOPHIL JANTZ, D.O.
Title
OWNER
Phone
(707) 964-6910

Specialties & Taxonomy Codes

Specialty
Surgery

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