institution
Provo Dialysis Center University Of Utah
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Provo, Utah
NPI 1194824201

Provo Dialysis Center University Of Utah is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Salt Lake City, UT and is specialized in End-Stage Renal Disease (ESRD) Treatment. Provo Dialysis Center University Of Utah practices in Provo, UT. The NPI Number for Provo Dialysis Center University Of Utah is 1194824201 and holds a License No. 2004-ESRD-228 (Utah).

The current practice location address for Provo Dialysis Center University Of Utah is 1675 N Freedom Blvd, Provo, UT and can be reached out via phone at 801-373-0167 and via fax at 801-374-1989.

Location: 1675 N Freedom Blvd, Provo, UT, 84127-0071
institution
Provider Profile Details
NPI Number
1194824201
Provider Name
Provo Dialysis Center University Of Utah
Credential
Provider Entity Type
Organization
Address
1675 N Freedom Blvd, Provo, UT, 84127-0071
Phone Number
801-373-0167
Fax Number
801-374-1989
Provider Enumeration Date
09/22/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1675 N Freedom Blvd
City
State
Zip
84604-2540
Phone Number
801-373-0167
Fax Number
801-374-1989
person
Provider Business Mailing Address Details
Address
1675 N Freedom Blvd
City
State
Zip
84604-2540
Phone Number
801-373-0167
Fax Number
801-374-1989
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
2004-ESRD-228 (Utah)
Definition
Definition to come...
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