Organization · Type 2 NPI

St. John Dialysis, LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Tulsa, OK

NPI number 1356429500 Active

Practice location

1515 N Harvard Ave
Tulsa, OK 74115-4957

Call (918) 835-5599 Map

Mailing address

1923 S Utica Ave
Tulsa, OK 74104-6520

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700X2265 (OK)

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

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About NPI 1356429500

St. John Dialysis, LLC's National Provider Identifier is 1356429500, issued on Nov 2, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Tulsa, OK. The record was last updated on Sep 7, 2007.