DR. JORDAN RENNICKE, MD

Family Medicine - Sports Medicine

Active Individual
NPI: 1407343767

Practice Address

101 BODIN CIR
Travis Afb, CA 94535

Phone: (707) 423-3057

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X No 32087 (NE)
Family Medicine - Sports Medicine 207QS0010X Yes 32087 (NE)

Frequently Asked Questions

NPI 1407343767 is the National Provider Identifier for DR. JORDAN RENNICKE, MD, a Family Medicine - Sports Medicine provider located in Travis Afb, CA. This NPI was enumerated on April 21, 2018.
DR. JORDAN RENNICKE, MD practices at 101 BODIN CIR, Travis Afb, CA 94535.

Quick Facts

NPI
1407343767
Type
Individual
Enumerated
Apr 21, 2018
Last Updated
May 21, 2024

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