Organization · Type 2 NPI

Phoenix Children's Hospital

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Phoenix, AZ

NPI number 1457402364 Active

Practice location

1920 E Cambridge Ave, Ste 102
Phoenix, AZ 85006-1459

Call (602) 933-3220 Map

Fax (602) 933-0502

Mailing address

2108 E Thomas Rd Ste 130
Phoenix, AZ 85016-0008

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700XOTC 3741 (AZ)
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700XMED2169 (AZ)

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

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About NPI 1457402364

Phoenix Children's Hospital's National Provider Identifier is 1457402364, issued on Jan 16, 2007. 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 May 22, 2023.