Individual
DANIEL MATTHEW RENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
95 S PAGOSA BLVD, PAGOSA SPRINGS, CO 81147-8329
(970) 731-3700
(970) 731-3708
Mailing address
95 S PAGOSA BLVD, PAGOSA SPRINGS, CO 81147-8329
(970) 507-3781
(970) 731-3708
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2012-00828
NC
207P00000X
Emergency Medicine Physician
Primary
DR.0053567
CO
Other
Enumeration date
04/20/2010
Last updated
11/03/2021
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