institution
Portneuf Nephrology Center
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Pocatello, Idaho
NPI 1164413753

Portneuf Nephrology Center is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Boise, ID and is specialized in End-Stage Renal Disease (ESRD) Treatment. Portneuf Nephrology Center practices in Pocatello, ID. The NPI Number for Portneuf Nephrology Center is 1164413753 and holds a License No. BM7847203 (Idaho).

The current practice location address for Portneuf Nephrology Center is 2001 Bench Rd, Pocatello, ID and can be reached out via phone at 208-637-1090 and via fax at 208-637-1097. You can also correspond with Portneuf Nephrology Center through the mailing address at 5610 GAGE ST, BOISE, ID - 83706-1332 (mailing address contact number: 208-367-3076).

Location: 2001 Bench Rd, Pocatello, ID, 83706-1332
institution
Provider Profile Details
NPI Number
1164413753
Provider Name
Portneuf Nephrology Center
Credential
Provider Entity Type
Organization
Address
2001 Bench Rd, Pocatello, ID, 83706-1332
Phone Number
208-637-1090
Fax Number
208-637-1097
Provider Enumeration Date
11/02/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2001 Bench Rd
City
State
Zip
83201-2033
Phone Number
208-637-1090
Fax Number
208-637-1097
person
Provider Business Mailing Address Details
Address
2001 Bench Rd
City
State
Zip
83201-2033
Phone Number
208-637-1090
Fax Number
208-637-1097
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
BM7847203 (Idaho)
Definition
Definition to come...
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