| Physician Business Services Llc | |
|
1040 Whipple St Suite 209 Prescott AZ 86305-1613 | |
| (928) 776-6400 | |
| (928) 772-6410 |
| Full Name | Physician Business Services Llc |
|---|---|
| Speciality | Pediatrics |
| Location | 1040 Whipple St, Prescott, Arizona |
| Authorized Official Name and Position | Dieter W Krantz (VICE PRESIDENT) |
| Authorized Official Contact | 9287722591 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Business Services Llc 1040 Whipple St Suite 209 Prescott AZ 86305-1613 Ph: (928) 776-6400 | Physician Business Services Llc 1040 Whipple St Suite 209 Prescott AZ 86305-1613 Ph: (928) 776-6400 |
| NPI Number | 1730171539 |
|---|---|
| Provider Enumeration Date | 08/17/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730171539 | NPI | - | NPPES |
| 553653 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Arizona) | Primary |
| 207R00000X | Internal Medicine | (Arizona) | Primary |
| 208000000X | Pediatrics | (Arizona) | Primary |
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