Organization · Type 2 NPI
Dialysis Newco LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Avondale, AZ
NPI number
1144503699
Active
Practice location
13055 W Mcdowell Rd, Suite 101F
Avondale, AZ 85392-6449
Fax (623) 935-5465
Mailing address
PO Box 251549
Plano, TX 75025-1500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | OTC4198 (AZ) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
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- Mark Alan Pezzelle, P.T.A.Physical Therapy Assistant Avondale, AZ NPI 1871714113
Other end-stage renal disease (esrd) treatment clinic/center providers in Avondale
About NPI 1144503699
Dialysis Newco LLC's National Provider Identifier is 1144503699, issued on Sep 21, 2011. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Avondale, AZ. The record was last updated on Jan 4, 2021.