Individual
LESLIE ANN RENFRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1120 SOUTH DRIVER, FESLER HALL, ROOM 204, INDIANAPOLIS, IN 46202-5135
(317) 274-0269
(317) 273-0256
Mailing address
PO BOX 6069-DEPT 106, INDIANAPOLIS, IN 46206-6069
(317) 614-9850
(800) 731-0699
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01069273A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201067860
—
IN
Enumeration date
04/09/2008
Last updated
06/28/2013
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