Organization
RENEW MEDICAL GROUP OF IDAHO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARIN L RENTZ DO (PRESIDENT)
(844) 565-6471
Entity
Organization
Contact information
Practice address
1717 ARLINGTON AVE, CALDWELL, ID 83605-4802
(208) 459-4641
Mailing address
700 E REDLANDS BLVD STE U302, REDLANDS, CA 92373-6109
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
02/06/2025
Last updated
06/03/2025
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