Organization
RENAISSANCE MEDICAL MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY LYNN WATTS MD (OWNER, MEDICAL DOCTOR)
(405) 205-7424
Entity
Organization
Contact information
Practice address
3509 FRENCH PARK DR STE E, EDMOND, OK 73034-7291
(405) 285-6901
(405) 285-6902
Mailing address
941 W I-35 FRONTAGE ROAD STE 116 PMB 203, EDMOND, OK 73034
(405) 285-6901
(405) 285-6902
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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