Organization
RENAISSANCE MEDICAL SPA, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PALMER SNOOK M.D. (OWNER)
(812) 524-9222
Entity
Organization
Contact information
Practice address
1414 E TIPTON ST, SEYMOUR, IN 47274-3533
(812) 524-9222
(812) 524-9777
Mailing address
1414 E TIPTON ST, SEYMOUR, IN 47274-3533
(812) 524-9222
(812) 524-9777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01047137
IN
Other
Enumeration date
02/12/2010
Last updated
02/12/2010
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