institution
Southwest Kidney Davita Dialysis Partners Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Wickenburg, Arizona
NPI 1093071821

Southwest Kidney Davita Dialysis Partners 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. Southwest Kidney Davita Dialysis Partners Llc practices in Wickenburg, AZ. The NPI Number for Southwest Kidney Davita Dialysis Partners Llc is 1093071821 and holds a License No. (Arizona).

The current practice location address for Southwest Kidney Davita Dialysis Partners Llc is 811 N Tegner St, Wickenburg, AZ and can be reached out via phone at 928-684-6898 and via fax at 928-684-6107.

Location: 811 N Tegner St, Wickenburg, AZ, 37027-7569
institution
Provider Profile Details
NPI Number
1093071821
Provider Name
Southwest Kidney Davita Dialysis Partners Llc
Credential
Provider Entity Type
Organization
Address
811 N Tegner St, Wickenburg, AZ, 37027-7569
Phone Number
928-684-6898
Fax Number
928-684-6107
Provider Enumeration Date
04/05/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
787101 05 AZ
institution
Provider Business Practice Location Address Details
Address
811 N Tegner St
City
State
Zip
85390-5409
Phone Number
928-684-6898
Fax Number
928-684-6107
person
Provider Business Mailing Address Details
Address
811 N Tegner St
City
State
Zip
85390-5409
Phone Number
928-684-6898
Fax Number
928-684-6107
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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