T.A. JANTZ, D.O., P.C.
Radiology at Mcdowell Rd, Phoenix, AZ

License number
Arizona 4667
Category
Radiology
Type
Surgery
Owner
Name: DR. THEOPHIL JANTZ D.O.
Title: PHYSICIAN
Phone: (602) 258-7003
Address
Address
1008 E Mcdowell Rd, Phoenix, AZ 85006
National Provider ID: 1114107323
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about T.A. JANTZ, D.O., P.C. at bizstanding.com

T.A. JANTZ, D.O., PC

6605 N 19 Ave STE B, Phoenix, AZ 85015

Status:
Inactive
Inactive reason:
Ad-dissolved-file annual report
Registration:
Aug 2, 2007
Inactive since:
Jan 19, 2011
State ID:
-1384372-7
Expiration:
PERPETUAL
President:
Theophil A Jontz Do (President), 6605 N 19 Ave STE B, Phoenix, AZ 85015 (Physical)
Agent:
Theophil A Jantz,6605 N 19 Ave STE B, Phoenix, AZ 85015 (Physical)
Business type:
HEALTH CARE

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