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Trc - Four Corners Dialysis Clinics Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Chinle, Arizona
NPI 1184680803

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 Chinle, AZ. The NPI Number for Trc - Four Corners Dialysis Clinics Llc is 1184680803 and holds a License No. (Arizona).

The current practice location address for Trc - Four Corners Dialysis Clinics Llc is Us Highway 191, Chinle, AZ and can be reached out via phone at 928-674-5426 and via fax at 928-674-5461.

Location: Us Highway 191, Chinle, AZ, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184680803
Provider Name
Trc - Four Corners Dialysis Clinics Llc
Credential
Provider Entity Type
Organization
Address
Us Highway 191, Chinle, AZ, 37027-7569
Phone Number
928-674-5426
Fax Number
928-674-5461
Provider Enumeration Date
04/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
472621 05 AZ
institution
Provider Business Practice Location Address Details
Address
Us Highway 191
City
Chinle
State
Arizona
Zip
86503
Phone Number
928-674-5426
Fax Number
928-674-5461
person
Provider Business Mailing Address Details
Address
Us Highway 191
City
Chinle
State
Arizona
Zip
86503
Phone Number
928-674-5426
Fax Number
928-674-5461
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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