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Individual

DAVID B. RENNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3231 S NATIONAL AVE STE 200, SPRINGFIELD, MO 65807-7304
(417) 885-0823
Mailing address
3231 S NATIONAL AVE STE 200, SPRINGFIELD, MO 65807-7304
(417) 885-0823

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2018016912
MO
363A00000X
Physician Assistant
PA08119
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
312286301
TX
Enumeration date
08/01/2006
Last updated
08/20/2019
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