Individual
ANDREW IHOR RENNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2701 W ALAMEDA AVE, SUITE 300, BURBANK, CA 91505-4402
(818) 843-1497
(818) 843-5283
Mailing address
2701 W ALAMEDA AVE, SUITE 300, BURBANK, CA 91505-4402
(818) 843-1497
(818) 843-5283
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G42417
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G424170
—
CA
Enumeration date
01/03/2006
Last updated
07/08/2007
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