RENOVO MEDICAL LLC
General Practice Physician · GARDEN CITY, KS
Organization Active NPI 1083864219
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ✓ | KS0434389 | KS |
| Phlebology Physician | 202K00000X | 0416265 | KS | |
| Surgical Physician Assistant | 363AS0400X | 1500265 | KS | |
| Family Nurse Practitioner | 363LF0000X | 45404 | KS |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.