RENOVO MEDICAL LLC

General Practice

Active Organization
NPI: 1083864219

Practice Address

816 N CAMPUS DR
SUITE 500
Garden City, KS 67846

Phone: (620) 805-5162

Specialties

Specialty Code Primary License
Phlebology 202K00000X No 0416265 (KS)
Physician Assistant - Surgical 363AS0400X No 1500265 (KS)
Nurse Practitioner - Family 363LF0000X No 45404 (KS)
General Practice 208D00000X Yes KS0434389 (KS)

Frequently Asked Questions

NPI 1083864219 is the National Provider Identifier for RENOVO MEDICAL LLC, a General Practice provider located in Garden City, KS. This NPI was enumerated on September 24, 2008.

Quick Facts

NPI
1083864219
Type
Organization
Enumerated
Sep 24, 2008
Last Updated
Mar 5, 2016

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