Individual
ROBERT S RENOUARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5300 N GRAND BLVD, STE 200, OKLAHOMA CITY, OK 73112-5517
(405) 946-2500
(405) 946-2506
Mailing address
PO BOX 2263, OKLAHOMA CITY, OK 73101-2263
(405) 842-4850
(405) 842-9612
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
19654
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100205940A
—
OK
Enumeration date
03/24/2006
Last updated
04/10/2017
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