Individual
RICHARD J RENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
390 CALLE DE ALEGRA, LAS CRUCES, NM 88005-3280
(575) 556-8200
(575) 556-8180
Mailing address
385 CALLE DE ALEGRA, BLDG. A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00026458
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8114092
—
WA
Enumeration date
01/29/2007
Last updated
02/26/2016
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