Renaissance Medical Management LLC

NPI #1194583963 in Edmond, Oklahoma

Provider Information

NPI Number
1194583963
Entity Type
Organization
Organization Name
Renaissance Medical Management LLC
Primary Specialty
Radiology - Diagnostic Radiology
Enumeration Date
Mar 7, 2024
Last Updated
Mar 7, 2024

Practice Location

Address
3509 FRENCH PARK DR STE E
City
Edmond
ZIP Code
73034-7291
Phone
(405) 285-6901

Authorized Official

Name
JEFFREY LYNN WATTS, MD
Title
OWNER, MEDICAL DOCTOR
Phone
(405) 205-7424

Specialties & Taxonomy Codes

Specialty
Radiology - Diagnostic RadiologyDiagnostic Radiology

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