Individual
GREGORY RENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 N KEENE ST, COLUMBIA, MO 65201-8367
(573) 882-7903
(573) 884-4607
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
36250
MO
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
36250
MO
Other
Enumeration date
05/18/2006
Last updated
04/10/2024
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