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Renal Care Group Arizona, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Mammoth, Arizona
NPI 1104928373

Renal Care Group Arizona, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Mammoth, AZ and is specialized in End-Stage Renal Disease (ESRD) Treatment. Renal Care Group Arizona, Llc practices in Mammoth, AZ. The NPI Number for Renal Care Group Arizona, Llc is 1104928373 and holds a License No. (Arizona).

The current practice location address for Renal Care Group Arizona, Llc is 14786 S State Highway 77, Mammoth, AZ and can be reached out via phone at 520-487-0150 and via fax at 520-487-0156.

Location: 14786 S State Highway 77, Mammoth, AZ, 85618-0000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104928373
Provider Name
Renal Care Group Arizona, Llc
Credential
Provider Entity Type
Organization
Address
14786 S State Highway 77, Mammoth, AZ, 85618-0000
Phone Number
520-487-0150
Fax Number
520-487-0156
Provider Enumeration Date
09/01/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
14786 S State Highway 77
City
Mammoth
State
Arizona
Zip
85618-0000
Phone Number
520-487-0150
Fax Number
520-487-0156
person
Provider Business Mailing Address Details
Address
14786 S State Highway 77
City
Mammoth
State
Arizona
Zip
85618-0000
Phone Number
520-487-0150
Fax Number
520-487-0156
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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