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Isd Renal Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Rolla, Missouri
NPI 1063923753

Isd Renal Inc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, MO and is specialized in End-Stage Renal Disease (ESRD) Treatment. Isd Renal Inc practices in Rolla, MO. The NPI Number for Isd Renal Inc is 1063923753 and holds a License No. (Missouri).

The current practice location address for Isd Renal Inc is 1702 E 10Th St Ste B, Rolla, MO and can be reached out via phone at 573-458-2013 and via fax at 573-458-2094.

Location: 1702 E 10Th St Ste B, Rolla, MO, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063923753
Provider Name
Isd Renal Inc
Credential
Provider Entity Type
Organization
Address
1702 E 10Th St Ste B, Rolla, MO, 37027-7569
Phone Number
573-458-2013
Fax Number
573-458-2094
Provider Enumeration Date
10/20/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500060490 05 MO
institution
Provider Business Practice Location Address Details
Address
1702 E 10Th St Ste B
City
Rolla
State
Missouri
Zip
65401-4868
Phone Number
573-458-2013
Fax Number
573-458-2094
person
Provider Business Mailing Address Details
Address
1702 E 10Th St Ste B
City
Rolla
State
Missouri
Zip
65401-4868
Phone Number
573-458-2013
Fax Number
573-458-2094
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.
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Definition
Definition to come...
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