CHARLES A JANTZEN

ENID, OK
NPI1871937847
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OK  5574)
Enumeration Date2013-04-22
Last Update Date2017-10-06
Business Address
CHARLES A JANTZEN DO
915 E GARRIOTT RD SUITE A
ENID, OK 73701-6156
Phone number: 580-977-1910
Mailing Address
CHARLES A JANTZEN DO
5300 N INDEPENDENCE AVE 280
OKLAHOMA CITY, OK 73112-5556
Phone number: 580-977-1910