institution
Nra-farmington, Missouri, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Farmington, Missouri
NPI 1457392789

Nra-farmington, Missouri, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Farmington, MO and is specialized in End-Stage Renal Disease (ESRD) Treatment. Nra-farmington, Missouri, Llc practices in Farmington, MO. The NPI Number for Nra-farmington, Missouri, Llc is 1457392789 and holds a License No. N/A (Missouri).

The current practice location address for Nra-farmington, Missouri, Llc is 1370 W Liberty St, Farmington, MO and can be reached out via phone at 573-760-1030 and via fax at 573-760-1026.

Location: 1370 W Liberty St, Farmington, MO, 63640-1947
institution
Provider Profile Details
NPI Number
1457392789
Provider Name
Nra-farmington, Missouri, Llc
Credential
Provider Entity Type
Organization
Address
1370 W Liberty St, Farmington, MO, 63640-1947
Phone Number
573-760-1030
Fax Number
573-760-1026
Provider Enumeration Date
06/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
26D1053302 01 MO CLIA CERTIFICATE OF WAIVE
institution
Provider Business Practice Location Address Details
Address
1370 W Liberty St
City
State
Zip
63640-1947
Phone Number
573-760-1030
Fax Number
573-760-1026
person
Provider Business Mailing Address Details
Address
1370 W Liberty St
City
State
Zip
63640-1947
Phone Number
573-760-1030
Fax Number
573-760-1026
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
N/A (Missouri)
Definition
Definition to come...
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