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Individual

DR. JOHN RENZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3402
Mailing address
PO BOX 9369, MOBILE, AL 36691-0369
(251) 544-1926
(251) 460-2846

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
16309
AL
2085R0202X
Diagnostic Radiology Physician
Primary
MD.019756
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000084336
AL
05
009635288
AL
05
009978440
AL
05
105184
AL
Enumeration date
11/09/2005
Last updated
07/31/2024
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