| Jr Renaissance Health Services, Pllc | |
|
1957 Hway 95 Ste 23 Bullhead City AZ 86442-6744 | |
| (928) 234-3834 | |
| Not Available |
| Full Name | Jr Renaissance Health Services, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1957 Hway 95 Ste 23, Bullhead City, Arizona |
| Authorized Official Name and Position | Rene Gonzalez Garcia (MD CEO) |
| Authorized Official Contact | 9282935999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jr Renaissance Health Services, Pllc Po Box 90182 Henderson NV 89009-0182 Ph: (928) 234-3834 | Jr Renaissance Health Services, Pllc 1957 Hway 95 Ste 23 Bullhead City AZ 86442-6744 Ph: (928) 234-3834 |
| NPI Number | 1184357972 |
|---|---|
| Provider Enumeration Date | 07/08/2022 |
| Last Update Date | 03/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184357972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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