Organization · Type 2 NPI
Dva Renal Healthcare Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Maryville, MO
NPI number
1871554451
Active
Practice location
2613 S Main St
Maryville, MO 64468-3601
Fax (660) 582-8359
Mailing address
5200 Virginia Way, Ste 400
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...
About NPI 1871554451
Dva Renal Healthcare Inc's National Provider Identifier is 1871554451, issued on Mar 31, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Maryville, MO. The record was last updated on Jul 11, 2007.