Individual
DAVID R RENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4811020-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130024988
RAILROAD MEDICARE
UT
Enumeration date
10/13/2006
Last updated
09/25/2012
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