Organization · Type 2 NPI

Cooper Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · St. Marys, PA

NPI number 1669609715 Active

Practice location

763 Johnsonburg Rd
St. Marys, PA 15857-3417

Mailing address

5200 Virginia Way, Ste 400 L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700XNone listed

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

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About NPI 1669609715

Cooper Dialysis LLC's National Provider Identifier is 1669609715, issued on Jun 16, 2009. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in St. Marys, PA. The record was last updated on Jun 16, 2009.