Whalio Doctors

NPI 1083864219

Renovo Medical LLC

Organisation General Practice Physician Garden City, KS

Practice location

Address
816 N Campus Dr Suite 500, Garden City, KS 67846-6329
Phone
(620) 805-5162
Fax
(620) 805-5183

Authorised official

Name
Joel T Erskin
Title
Ceo/Physician Assistant
Phone
(620) 805-5162

Registered specialties (4)

General Practice Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence KS0434389 (KS)
Phlebology Physician
Allopathic & Osteopathic Physicians Taxonomy 202K00000X Licence 0416265 (KS)
Surgical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 1500265 (KS)
Family Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 45404 (KS)

Registry record

NPI
1083864219
Entity type
Organization
NPI issued
24 Sep 2008
Record last updated
5 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.