RENU MEDISPA

Clinic/Center

Active Organization
NPI: 1407129125

Practice Address

951 E PLAZA DR
SUITE 150
Eagle, ID 83616

Phone: (208) 939-4456

Specialties

Specialty Code Primary License
Clinic/Center 261Q00000X Yes NP784A (ID)

Frequently Asked Questions

NPI 1407129125 is the National Provider Identifier for RENU MEDISPA, a Clinic/Center provider located in Eagle, ID. This NPI was enumerated on February 10, 2012.

Quick Facts

NPI
1407129125
Type
Organization
Enumerated
Feb 10, 2012
Last Updated
Apr 30, 2012

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