Individual
DAVID R RENNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
800 OSTRUM ST, STE 202, FOUNTAIN HILL, PA 18015-1015
(610) 807-9400
(610) 997-6326
Mailing address
623 E BROAD ST, 2ND FLR, BETHLEHEM, PA 18018-6332
(610) 954-6048
(610) 954-3189
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA001272L
PA
Other
Enumeration date
04/17/2006
Last updated
07/09/2007
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