Individual
DR. ADAM L RENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3025 W CHERRY LN STE A, MERIDIAN, ID 83642-8531
(208) 302-6400
(208) 302-6455
Mailing address
3025 W CHERRY LN STE A, MERIDIAN, ID 83642-8531
(208) 302-6400
(208) 302-6455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
E-15422
AR
207Q00000X
Family Medicine Physician
Primary
O-1340
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
285130001
—
AR
Enumeration date
03/20/2017
Last updated
01/05/2026
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