Individual provider · Type 1 NPI
Tanner Rencher, DDS
Student in an Organized Health Care Education/Training Program · Rupert, ID
NPI number
1437562774
Active
Practice location
128 N River Island Rd
Rupert, ID 83350-8450
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1437562774
Tanner Rencher, DDS's National Provider Identifier is 1437562774, issued on Jun 4, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Rupert, ID. The record was last updated on Jun 4, 2014.