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Bonneville Dialysis Center
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ogden, Utah
NPI 1003915513

Bonneville Dialysis Center is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Salt Lake City, UT and is specialized in End-Stage Renal Disease (ESRD) Treatment. Bonneville Dialysis Center practices in Ogden, UT. The NPI Number for Bonneville Dialysis Center is 1003915513 and holds a License No. 2004-ESRD-389 (Utah).

The current practice location address for Bonneville Dialysis Center is 5575 S 500 E, Ogden, UT and can be reached out via phone at 801-479-0351 and via fax at 801-476-1766.

Location: 5575 S 500 E, Ogden, UT, 84127-0071
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003915513
Provider Name
Bonneville Dialysis Center
Credential
Provider Entity Type
Organization
Address
5575 S 500 E, Ogden, UT, 84127-0071
Phone Number
801-479-0351
Fax Number
801-476-1766
Provider Enumeration Date
09/21/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5575 S 500 E
City
Ogden
State
Utah
Zip
84405-6907
Phone Number
801-479-0351
Fax Number
801-476-1766
person
Provider Business Mailing Address Details
Address
5575 S 500 E
City
Ogden
State
Utah
Zip
84405-6907
Phone Number
801-479-0351
Fax Number
801-476-1766
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
2004-ESRD-389 (Utah)
Definition
Definition to come...
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