| NPI | 1760142095 |
|---|---|
| Other Name | RENEW VASCULAR INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | DENNIS CHALTRAW Organizer 541-302-7771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261QR0200X Clinic/Center, Radiology | |
| Enumeration Date | 2021-12-28 |
| Last Update Date | 2022-10-03 |