Organization
RONALD L. RENARD MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD LEE RENARD M.D. (OWNER)
(530) 226-5325
Entity
Organization
Contact information
Practice address
1505 VICTOR AVE, REDDING, CA 96003-4031
(530) 226-5325
(530) 226-5367
Mailing address
1505 VICTOR AVE, REDDING, CA 96003-4031
(530) 226-5325
(530) 226-5367
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
G36415
CA
207R00000X
Internal Medicine Physician
G36415
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G364150
MEDICARE PROVIDER NUMBER
CA
01
—
030000564
RAILROAD PROVIDER NUMBER
CA
Enumeration date
12/03/2014
Last updated
12/03/2014
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