Organization · Type 2 NPI

Southwest Kidney Davita Dialysis Partners LLC

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

NPI number 1790969681 Active

Practice location

20325 N 51st Ave, Bldg 11 Ste 184
Glendale, AZ 85308-5674

Fax (623) 533-4033

Mailing address

5200 Virginia Way, Ste 400 L&c
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 1790969681

Southwest Kidney Davita Dialysis Partners LLC's National Provider Identifier is 1790969681, issued on Dec 27, 2007. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Glendale, AZ. The record was last updated on Jan 10, 2008.