Healthcare Provider Details

I. General information

NPI: 1124087309
Provider Name (Legal Business Name): VENCENT P FRANTZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1065 BUCKS LAKE ROAD
QUINCY CA
95971
US

IV. Provider business mailing address

1065 BUCKS LAKE ROAD
QUINCY CA
95971
US

V. Phone/Fax

Practice location:
  • Phone: 530-283-1506
  • Fax: 530-283-3541
Mailing address:
  • Phone: 530-283-2121
  • Fax: 530-283-7953

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberG13829
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: