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Search › California › 207QS0010X

Jordan Rennicke, MD

NPI 1407343767 · on the registry since 2018 · sole proprietor

Practice

Address
101 Bodin Cir
Travis Afb, CA 94535
Phone
(707) 423-3057
Organisation at this address
Dfas
60 Msgs
60th Medgrp-Travis
60th Medical Group
60th Medgrp-Travis
Inferred from a shared address, not stated in the registry.
Clinicians at this address
663

Registry record

Primary taxonomy
207QS0010X
207QS0010X
Also registered as
207Q00000X
Licence states on file
NE
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-05-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California