institution
Trc - Petersburg Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Petersburg, Virginia
NPI 1366406613

Trc - Petersburg Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, VA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Trc - Petersburg Llc practices in Petersburg, VA. The NPI Number for Trc - Petersburg Llc is 1366406613 and holds a License No. (Virginia).

The current practice location address for Trc - Petersburg Llc is 20 Medical Park Blvd, Petersburg, VA and can be reached out via phone at 804-861-0967 and via fax at 804-861-0796.

Location: 20 Medical Park Blvd, Petersburg, VA, 37027-7569
institution
Provider Profile Details
NPI Number
1366406613
Provider Name
Trc - Petersburg Llc
Credential
Provider Entity Type
Organization
Address
20 Medical Park Blvd, Petersburg, VA, 37027-7569
Phone Number
804-861-0967
Fax Number
804-861-0796
Provider Enumeration Date
04/13/2006
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1366406613 05 VA
institution
Provider Business Practice Location Address Details
Address
20 Medical Park Blvd
City
State
Zip
23805-9280
Phone Number
804-861-0967
Fax Number
804-861-0796
person
Provider Business Mailing Address Details
Address
20 Medical Park Blvd
City
State
Zip
23805-9280
Phone Number
804-861-0967
Fax Number
804-861-0796
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
(Virginia)
Definition
Definition to come...
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