Individual
ROGER RENFREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330-8160
(207) 621-3699
(207) 624-4268
Mailing address
PO BOX 546, SKOWHEGAN, ME 04976-0546
(207) 431-2269
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
009881
ME
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD9881
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268980099
—
ME
Enumeration date
07/16/2006
Last updated
02/25/2015
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