Individual
DR. PHILIP R RENFROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
925 S NEBRASKA ST, MARION, IN 46953
(765) 664-7492
Mailing address
8003 CASTLEWAY DR, INDIANAPOLIS, IN 46250-1946
(317) 576-1335
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01072499A
IN
Other
Enumeration date
10/06/2006
Last updated
02/19/2024
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