Organization · Type 2 NPI
Usrc Petersburg, LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Petersburg, VA
NPI number
1073910600
Active
Practice location
1964 S Crater Rd
Petersburg, VA 23805-2716
Fax (804) 733-3530
Mailing address
2400 Dallas Pkwy, Suite 350
Plano, TX 75093-4370
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
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About NPI 1073910600
Usrc Petersburg, LLC's National Provider Identifier is 1073910600, issued on Nov 25, 2014. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Petersburg, VA. The record was last updated on Jun 25, 2015.