Ian G Renner M.D.

NPI 1164539227 - Internal Medicine - 207RG0100X

NPI Details
NPI 1164539227
Gender Male
Enumeration Date 08/24/2006
Last Updated 04/11/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
704 MOUNTAIN RANCH RD.
SUITE #102
SAN ANDREAS CA, 95249, US
Phone (209) 754-9232
Fax (209) 754-9413
Business Location
704 MOUNTAIN RANCH RD.
SUITE #102
SAN ANDREAS CA, 95249, US
Phone (209) 754-9232
Fax (209) 754-9413
Toxanomy
Taxonomy Code 207RG0100X
License State California
License Number A34010
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According to our database, Ian G Renner M.D. NPI is 1164539227, taxonomy code is 207RG0100X and license number is A34010, license state is located at California. Ian G Renner M.D. physically located at 704 Mountain Ranch Rd., San Andreas CA, 95249. NPI Number Ian G Renner M.D. has the Individual type.

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1164539227 NPI number is provided on an as is basis without warranty of any kind. 1164539227 is maintained by the National Plan & Provider Enumeration System. The contents of Ian G Renner M.D. are for informational purposes only.