Organization · Type 2 NPI
St. John Dialysis, LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Sapulpa, OK
NPI number
1639255243
Active
Practice location
1013 E Cleveland Ave
Sapulpa, OK 74066-4516
Mailing address
1923 S Utica Ave
Tulsa, OK 74104-6520
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | 2265 (OK) |
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 Sapulpa
About NPI 1639255243
St. John Dialysis, LLC's National Provider Identifier is 1639255243, issued on Oct 27, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Sapulpa, OK. The record was last updated on Sep 7, 2007.