Individual
DR. CLEMENT L REN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 RILEY HOSPITAL DR, ROC 4270, INDIANAPOLIS, IN 46202-5109
(317) 274-7208
(317) 274-5791
Mailing address
PO BOX 1026, INDIANAPOLIS, IN 46206-1026
(317) 777-6435
(317) 777-6644
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
01076028
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201329350
—
IN
Enumeration date
08/14/2006
Last updated
03/17/2021
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