Organization · Type 2 NPI

Renu Medispa

Clinic/Center · Eagle, ID

NPI number 1407129125 Active

Practice location

951 E Plaza Dr, Suite 150
Eagle, ID 83616-6566

Call (208) 939-4456 Map

Fax (208) 287-2200

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNP784A (ID)

Clinic/Center: 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).

9 other providers at this address

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About NPI 1407129125

Renu Medispa's National Provider Identifier is 1407129125, issued on Feb 10, 2012. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Eagle, ID. The record was last updated on Apr 30, 2012.