Provider Demographics
NPI:1760749501
Name:FRANTZ, PAUL THOMASSON (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:THOMASSON
Last Name:FRANTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:5048 CROSSBOW CIR
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-8651
Mailing Address - Country:US
Mailing Address - Phone:540-981-7185
Mailing Address - Fax:540-983-1245
Practice Address - Street 1:5048 CROSSBOW CIR
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-8651
Practice Address - Country:US
Practice Address - Phone:540-981-7185
Practice Address - Fax:540-983-1245
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-18
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101033881207RC0000X
NC200002064059207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease