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Renu Medispa
Clinic/Center in Eagle, Idaho
NPI 1407129125

Renu Medispa is a Clinic/Center based in Eagle, ID. Renu Medispa practices in Eagle, ID. The NPI Number for Renu Medispa is 1407129125 and holds a License No. NP784A (Idaho).

The current practice location address for Renu Medispa is 951 E Plaza Dr, Eagle, ID and can be reached out via phone at 208-939-4456 and via fax at 208-287-2200.

Location: 951 E Plaza Dr, Eagle, ID, 83616-6566
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407129125
Provider Name
Renu Medispa
Credential
Provider Entity Type
Organization
Address
951 E Plaza Dr, Eagle, ID, 83616-6566
Phone Number
208-939-4456
Fax Number
208-287-2200
Provider Enumeration Date
02/10/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
951 E Plaza Dr
City
Eagle
State
Idaho
Zip
83616-6566
Phone Number
208-939-4456
Fax Number
208-287-2200
person
Provider Business Mailing Address Details
Address
951 E Plaza Dr
City
Eagle
State
Idaho
Zip
83616-6566
Phone Number
208-939-4456
Fax Number
208-287-2200
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
NP784A (Idaho)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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