Renaissance Medical Spa, L.l.c.

NPI #1275865446 in Seymour, Indiana

Provider Information

NPI Number
1275865446
Entity Type
Organization
Organization Name
Renaissance Medical Spa, L.l.c.
Primary Specialty
Family Medicine
Enumeration Date
Feb 12, 2010
Last Updated
Feb 12, 2010

Practice Location

Address
1414 E TIPTON ST
State
Indiana
ZIP Code
47274-3533
Phone
(812) 524-9222

Authorized Official

Name
DR. JOHN PALMER SNOOK, M.D.
Title
OWNER
Phone
(812) 524-9222

Specialties & Taxonomy Codes

Specialty
Family Medicine

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