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NPI Code Detail

MEDICARE: DR. SARAH L. RENFERT M.D.

MEDICARE: DR. SARAH L. RENFERT M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician2000163032MO

General Provider Information

NPI Number : 1932171600
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARAH L. RENFERT M.D.
Provider Business Mailing Address
First Line : 524 QUEENS COURT PLACE
Second Line :
City : ST. PETERS
State : MO
Zip : 63376
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 225 CLARKSON RD
Second Line :
City : ELLISVILLE
State : MO
Zip : 63011-2278
Country : US
Telephone Number : 636-207-8880
Fax Number : 636-256-7797
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2006
Last Update Date : 07/08/2007

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