Provider Demographics
NPI:1427336270
Name:JANSE VAN RENSBURG, PIETER (MB,CHB, FRCPC)
Entity type:Individual
Prefix:DR
First Name:PIETER
Middle Name:
Last Name:JANSE VAN RENSBURG
Suffix:
Gender:M
Credentials:MB,CHB, FRCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RADIOLOGY DEPARTMENT UNIVERSITY OF UTAH
Mailing Address - Street 2:30 NORTH 1900 EAST #1A071
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84132-2140
Mailing Address - Country:US
Mailing Address - Phone:801-585-7330
Mailing Address - Fax:
Practice Address - Street 1:RADIOLOGY DEPARTMENT UNIVERSITY OF UTAH
Practice Address - Street 2:30 NORTH 1900 EAST #1A071
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84132-2140
Practice Address - Country:US
Practice Address - Phone:801-585-7330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-28
Last Update Date:2011-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program