Individual
DR. DOUGLAS RENNERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19455 DEERFIELD AVE, SUITE 206, LEESBURG, VA 20176-8100
(703) 858-9608
(702) 858-9618
Mailing address
19455 DEERFIELD AVE, STE 206, LEESBURG, VA 20176-8100
(703) 858-9608
(703) 858-9618
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0101043761
VA
207RP1001X
Pulmonary Disease Physician
Primary
0101043761
VA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
0101043761
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5854466
—
VA
01
—
A6950002
DC BS
DC
Enumeration date
11/02/2005
Last updated
07/10/2023
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