Renu Longevity PC
Clinic/Center, Multi-Specialty in Bismarck, ND. Organization (NPI-2).
NPI number1104747302
StatusActive
Last updated in NPPESJul 23, 2026
Details
- NPI
- 1104747302
- Entity type
- Organization (NPI-2)
- Legal business name
- Renu Longevity PC
- Organization subpart
- No
- Enumeration date
- Jul 23, 2026
- Certification date
- Jul 21, 2026
- Last updated
- Jul 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
Other names
- Moos Family Chiropractic (Doing Business As)
Practice location
517 S 5th StBismarck, ND 58504-5702
Phone 701-751-2229 · Fax 701-829-7158
Mailing address
517 S 5th StBismarck, ND 58504-5702
Phone 701-751-2229 · Fax 701-829-7158
Authorized official
Aaron Moos
Owner
7017512229
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