Individual
DR. ROBERT RENEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
711 RIGBY LAKE DR STE 1102, RIGBY, ID 83442-5372
(208) 745-5165
Mailing address
711 RIGBY LAKE DR STE 1102, RIGBY, ID 83442-5372
(208) 745-5165
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHAI-2015
ID
Other
Enumeration date
01/03/2019
Last updated
11/15/2022
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