Organization · Type 2 NPI
Stockton Dialysis LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Moore, OK
NPI number
1821496217
Active
Practice location
620 S Santa Fe Ave Ste C
Moore, OK 73160-2476
Fax (405) 799-2409
Mailing address
5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569
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...
Other end-stage renal disease (esrd) treatment clinic/center providers in Moore
About NPI 1821496217
Stockton Dialysis LLC's National Provider Identifier is 1821496217, issued on Dec 17, 2014. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Moore, OK. The record was last updated on Jan 22, 2024.