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RICHARD J RENNER NPI 1558407684


NPI Information

NPI: 1558407684
Provider Name: RICHARD J RENNER
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
390 CALLE DE ALEGRA
LAS CRUCES, NM
ZIP 88005
Phone: (575) 556-8200
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Richard J Renner is a pediatrics in Las Cruces, NM. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Richard J Renner NPI is 1558407684. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

390 CALLE DE ALEGRA
LAS CRUCES, NM
ZIP 88005-280
Phone: (575) 556-8200
Fax: (575) 556-8180

The enumeration date for this NPI number is 1/29/2007 and was last updated on 2/26/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsMD00026458WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F11098MEDICARE UPINWASHINGTON
2G000135713MEDICARE PINWASHINGTON
38114092MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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