Individual provider · Type 1 NPI

Richard Kreutz, PA-C

Medical Physician Assistant · Phoenix, AZ

NPI number 1396148268 Active

Practice location

4212 N 16th St
Phoenix, AZ 85016-5319

Call (602) 263-1200 Map

Mailing address

PO Box 31001-0698
Pasadena, CA 91110-0698

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X1104986 (AZ)

Medical Physician Assistant: Definition to come...

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About NPI 1396148268

Richard Kreutz, PA-C's National Provider Identifier is 1396148268, issued on Oct 6, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 25, 2019.