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Ponderosa Pine, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lone Tree, Colorado
NPI 1407525447

Ponderosa Pine, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Plano, CO and is specialized in End-Stage Renal Disease (ESRD) Treatment. Ponderosa Pine, Llc practices in Lone Tree, CO. The NPI Number for Ponderosa Pine, Llc is 1407525447 and holds a License No. (Colorado).

The current practice location address for Ponderosa Pine, Llc is 9777 S Yosemite St Ste 130Ab&C, Lone Tree, CO and can be reached out via phone at 720-798-3714 and via fax at 720-798-3755.

Location: 9777 S Yosemite St Ste 130Ab&C, Lone Tree, CO, 75025-1500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407525447
Provider Name
Ponderosa Pine, Llc
Credential
Provider Entity Type
Organization
Address
9777 S Yosemite St Ste 130Ab&C, Lone Tree, CO, 75025-1500
Phone Number
720-798-3714
Fax Number
720-798-3755
Provider Enumeration Date
09/13/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9777 S Yosemite St Ste 130Ab&C
City
Lone Tree
State
Colorado
Zip
80124-3191
Phone Number
720-798-3714
Fax Number
720-798-3755
person
Provider Business Mailing Address Details
Address
9777 S Yosemite St Ste 130Ab&C
City
Lone Tree
State
Colorado
Zip
80124-3191
Phone Number
720-798-3714
Fax Number
720-798-3755
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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