Individual
MR. GARREL LEE RENICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1600 E BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-8000
Mailing address
1600 E BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2016002651
MO
208M00000X
Hospitalist Physician
Primary
2016002651
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/04/2012
Last updated
02/28/2023
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