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Isd Renal Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Prescott, Arizona
NPI 1205881232

Isd Renal Inc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, AZ and is specialized in End-Stage Renal Disease (ESRD) Treatment. Isd Renal Inc practices in Prescott, AZ. The NPI Number for Isd Renal Inc is 1205881232 and holds a License No. OTC3997 (Arizona).

The current practice location address for Isd Renal Inc is 980 Willow Creek Rd Ste 101, Prescott, AZ and can be reached out via phone at 928-776-9459 and via fax at 928-776-8061. You can also correspond with Isd Renal Inc through the mailing address at 5200 VIRGINIA WAY, BRENTWOOD, TN - 37027-7569 (mailing address contact number: 615-341-6814).

Location: 980 Willow Creek Rd Ste 101, Prescott, AZ, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205881232
Provider Name
Isd Renal Inc
Credential
Provider Entity Type
Organization
Address
980 Willow Creek Rd Ste 101, Prescott, AZ, 37027-7569
Phone Number
928-776-9459
Fax Number
928-776-8061
Provider Enumeration Date
05/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
151474 05 AZ
institution
Provider Business Practice Location Address Details
Address
980 Willow Creek Rd Ste 101
City
Prescott
State
Arizona
Zip
86301-1619
Phone Number
928-776-9459
Fax Number
928-776-8061
person
Provider Business Mailing Address Details
Address
980 Willow Creek Rd Ste 101
City
Prescott
State
Arizona
Zip
86301-1619
Phone Number
928-776-9459
Fax Number
928-776-8061
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.
OTC3997 (Arizona)
Definition
Definition to come...
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