Organization · Type 2 NPI

Provo Dialysis Center University of Utah

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Provo, UT

NPI number 1194824201 Active

Practice location

1675 N Freedom Blvd
Provo, UT 84604-2540

Call (801) 373-0167 Map

Fax (801) 374-1989

Mailing address

PO Box 27071
Salt Lake City, UT 84127-0071

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700X2004-ESRD-228 (UT)

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

13 other providers at this address

Other end-stage renal disease (esrd) treatment clinic/center providers in Provo

See all in Provo →

About NPI 1194824201

Provo Dialysis Center University of Utah's National Provider Identifier is 1194824201, issued on Sep 22, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Provo, UT. The record was last updated on May 21, 2014.