Individual
RENEE BORNEMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 CHILDRENS WAY # 512-3, LITTLE ROCK, AR 72202-3500
(501) 364-1100
Mailing address
1 CHILDRENS WAY # 512-3, LITTLE ROCK, AR 72202-3500
(501) 364-1479
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
C-7449
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125977001
—
AR
Enumeration date
10/13/2006
Last updated
09/20/2010
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