institution
Trc - Four Corners Dialysis Clinics Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Tuba City, Arizona
NPI 1083670723

Trc - Four Corners Dialysis Clinics Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, AZ and is specialized in End-Stage Renal Disease (ESRD) Treatment. Trc - Four Corners Dialysis Clinics Llc practices in Tuba City, AZ. The NPI Number for Trc - Four Corners Dialysis Clinics Llc is 1083670723 and holds a License No. (Arizona).

The current practice location address for Trc - Four Corners Dialysis Clinics Llc is 500 Edgewater Drive, Tuba City, AZ and can be reached out via phone at 928-283-4525 and via fax at 928-283-4801. You can also correspond with Trc - Four Corners Dialysis Clinics Llc through the mailing address at 5200 VIRGINIA WAY, BRENTWOOD, TN - 37027-7569 (mailing address contact number: 615-341-6814).

Location: 500 Edgewater Drive, Tuba City, AZ, 37027-7569
institution
Provider Profile Details
NPI Number
1083670723
Provider Name
Trc - Four Corners Dialysis Clinics Llc
Credential
Provider Entity Type
Organization
Address
500 Edgewater Drive, Tuba City, AZ, 37027-7569
Phone Number
928-283-4525
Fax Number
928-283-4801
Provider Enumeration Date
04/21/2006
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
472663 05 AZ
953372911019 05 UT
institution
Provider Business Practice Location Address Details
Address
500 Edgewater Drive
City
State
Zip
86045-2905
Phone Number
928-283-4525
Fax Number
928-283-4801
person
Provider Business Mailing Address Details
Address
5200 Virginia Way
City
State
Zip
37027-7569
Phone Number
615-341-6814
Fax Number
800-293-8405
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
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Definition
Definition to come...
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