Organization · Type 2 NPI
Calaveras Dialysis LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Phoenix, AZ
NPI number
1295070761
Active
Practice location
5115 E Thomas Rd, Ste 115
Phoenix, AZ 85018-7914
Fax (602) 840-3362
Mailing address
5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | OTC 0725 (AZ) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1295070761
Calaveras Dialysis LLC's National Provider Identifier is 1295070761, issued on Dec 10, 2012. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 1, 2013.