RENOVA MEDICAL CENTER, LLC is a general practice in Columbia, MO. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee RENOVA MEDICAL CENTER, LLC NPI is 1447741681. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
1401 FORUM BLVD STE 101
COLUMBIA, MO
ZIP 65203-915
Phone: (573) 228-0217
Fax: (573) 234-1368
The provider's authorized official is Kerrie J Rose .
The authorized official title is Owner and has the following contact phone number (573) 228-0217.
The CLIA number assigned to this NPI record is 26D2271889 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/23/2018 and was last updated on 5/23/2018.