Individual
JOHN H RENNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3156 STATE ST, MEDFORD, OR 97504
(541) 476-2373
Mailing address
1215 SW G ST, GRANTS PASS, OR 97526-2544
(541) 476-2373
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
E8135
TX
2084P0800X
Psychiatry Physician
Primary
MD190613
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500755439
—
OR
Enumeration date
04/05/2006
Last updated
05/10/2026
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