Renu Medispa
Renu Medispa is a Clinic/Center in Eagle, Idaho. Licensed in Idaho. Registered with an NPI since 2012.
- Licensed in
- ID
- In the registry since
- 2012
Practice location Address checks out
951 E Plaza Dr Ste 150Eagle, ID 83616-6566
Phone: (208) 939-4456
Fax: (208) 287-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence NP784A (ID) |
|---|
Record details
| NPI number | 1407129125 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tawni Weaver — Director · (208) 939-4456 |
| NPI enumerated | February 10, 2012 |
| Last updated in NPPES | April 30, 2012 |
| Mailing address | 951 E Plaza Dr, Suite 150, Eagle, ID 83616-6566 |
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