Organization · Type 2 NPI
Community/physicians Dialysis Center Fairborn, Limited
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Fairborn, OH
NPI number
1316993702
Active
Practice location
1266 N Broad St
Fairborn, OH 45324-5549
Fax (937) 879-0589
Mailing address
247 S Burnett Rd, Suite 110
Springfield, OH 45505-2639
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | 0674DC (OH) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
2 other providers at this address
Other end-stage renal disease (esrd) treatment clinic/center providers in Fairborn
About NPI 1316993702
Community/physicians Dialysis Center Fairborn, Limited's National Provider Identifier is 1316993702, issued on May 26, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Fairborn, OH. The record was last updated on Mar 5, 2010.