RENAISSANCE MEDICAL MANAGEMENT LLC is a diagnostic radiology radiology in Edmond, OK. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. RENAISSANCE MEDICAL MANAGEMENT LLC NPI is 1194583963. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
3509 FRENCH PARK DR STE E EDMOND, OK ZIP 73034-291 Phone: (405) 285-6901 Fax: (405) 285-6902
The provider's authorized official is Jeffrey Lynn Watts . The authorized official title is Owner, Medical Doctor and has the following contact phone number (405) 205-7424.
The enumeration date for this NPI number is 3/7/2024 and was last updated on 3/7/2024.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 3/30/2025
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