Individual
BRYCE RENSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1020 WILLOW ST, SAN JOSE, CA 95125-2345
(408) 294-0033
(408) 294-0034
Mailing address
95 ARGONAUT, 280, ALISO VIEJO, CA 92656-4133
(949) 598-9999
(949) 598-9990
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC29906
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0299060
BLUE SHIELD
CA
Enumeration date
10/12/2006
Last updated
07/08/2007
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