Organization
OLE W RENICK MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLE W RENICK MD (PRESIDENT)
(540) 772-3350
Entity
Organization
Contact information
Practice address
3529 KEAGY RD, SALEM, VA 24153-7312
(540) 772-3350
(540) 772-3393
Mailing address
PO BOX 4127, ROANOKE, VA 24015-0127
(540) 344-9780
(540) 344-7154
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
10/09/2007
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