Mrs. Miranda K. Renfrow DO
Ophthalmology Physician in Saint Johnsbury, VT(View on Map)
Full Name
Mrs. Miranda Kirstin Renfrow DO
NPI Number
1598915332
NPI Type
Individual Provider
Gender
Female
Enumeration Date
09/30/2008
Specialties
(Taxonomies)Licenses
State
Oklahoma
Vermont
License Number
4949
032-0129313
Contact
Information
Purpose
Mailing
Location
Address
1290 HOSPITAL DR STE 5
1290 HOSPITAL DR STE 5
City
Saint Johnsbury
Saint Johnsbury
State
VT
VT
Postal Code
05819-9205
05819-9205
Country
US
US
Telephone Number
(802) 748-8126
(802) 748-8126
Identifiers
Identifier
200307490A
OKA102503
Identifier State
OK
OK
Identifier Issuer
Unknown
PTAN MEDICARE
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/21/2022
Provider Address
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