Individual
DANIEL C RENFRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6000
Mailing address
PO BOX 8252, SAINT JOSEPH, MO 64508-8252
(816) 271-7648
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2024014470
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004030041
PTAN
KS
05
—
30005188200001
—
KS
Enumeration date
03/22/2019
Last updated
03/18/2026
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