THEOPHIL JANTZ, D.O., INC

FORT BRAGG, CA
NPI1902017932
Entity TypeOrganization
Authorized ContactTHEOPHIL JANTZ
Owner
707-964-6910
Organization Subpart ?No
Primary Taxonomy208600000X Surgery
(Licence: CA  20A9193)
Enumeration Date2007-05-24
Last Update Date2020-08-22
Business Address
THEOPHIL JANTZ, D.O., INC
721 RIVER DR STE B
FORT BRAGG, CA 95437
Phone number: 775-747-5050
Mailing Address
THEOPHIL JANTZ, D.O., INC
PO BOX 34120
RENO, NV 89533-4120
Phone number: 775-747-5050