Healthcare Provider Details
I. General information
NPI: 1881609725
Provider Name (Legal Business Name): PICKERT, HARPER AND KRANTZ, PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/29/2006
Last Update Date: 11/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 S CENTER ST
THURMONT MD
21788-1910
US
IV. Provider business mailing address
100 SOUTH CENTER ST
THURMONT MD
21788-1910
US
V. Phone/Fax
- Phone: 301-271-4333
- Fax: 301-271-7486
- Phone: 301-271-4333
- Fax: 301-271-7486
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JAMES
L
KRANTZ
Title or Position: PRIMARY CARE PHYSICIAN
Credential: M.D.
Phone: 301-271-4333