Organization · Type 2 NPI
Physicians Choice Dialysis of Bristow LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Bristow, OK
NPI number
1518242015
Active
Practice location
402 S Main St
Bristow, OK 74010-3204
Fax (610) 495-8560
Mailing address
211 Commerce Ct, Suite 104
Pottstown, PA 19464-3483
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
Another provider at this address
Other end-stage renal disease (esrd) treatment clinic/center providers in Bristow
About NPI 1518242015
Physicians Choice Dialysis of Bristow LLC's National Provider Identifier is 1518242015, issued on Oct 15, 2011. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Bristow, OK. The record was last updated on Feb 6, 2015.