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1174787097
MATTHEW D RENNER
BOISE, ID
NPI
1174787097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: OR MD155496)
Enumeration Date
2008-07-10
Last Update Date
2014-09-05
Business Address
-- MATTHEW D RENNER MD
100 E IDAHO ST SUITE 400
BOISE, ID 83712-6267
Phone number: 208-345-5250
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Mailing Address
-- MATTHEW D RENNER MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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