Organization · Type 2 NPI
No Roll Up Timpanogos LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Provo, UT
NPI number
1831153840
Active
Practice location
1055 N 500 W, Ste 222
Provo, UT 84604-3329
Fax (801) 377-6832
Mailing address
5200 Virginia Way, Ste 400 L&c
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...
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About NPI 1831153840
No Roll Up Timpanogos LLC's National Provider Identifier is 1831153840, issued on Apr 14, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Provo, UT. The record was last updated on Apr 20, 2008.