institution
Idaho Kidney Center-blackfoot Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Blackfoot, Idaho
NPI 1467480582

Idaho Kidney Center-blackfoot Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Blackfoot, ID and is specialized in End-Stage Renal Disease (ESRD) Treatment. Idaho Kidney Center-blackfoot Llc practices in Blackfoot, ID. The NPI Number for Idaho Kidney Center-blackfoot Llc is 1467480582 and holds a License No. (Idaho).

The current practice location address for Idaho Kidney Center-blackfoot Llc is 245 Poplar St, Blackfoot, ID and can be reached out via phone at 208-643-0876 and via fax at 208-643-0859.

Location: 245 Poplar St, Blackfoot, ID, 83221-4907
institution
Provider Profile Details
NPI Number
1467480582
Provider Name
Idaho Kidney Center-blackfoot Llc
Credential
Provider Entity Type
Organization
Address
245 Poplar St, Blackfoot, ID, 83221-4907
Phone Number
208-643-0876
Fax Number
208-643-0859
Provider Enumeration Date
06/29/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
245 Poplar St
City
State
Zip
83221-4907
Phone Number
208-643-0876
Fax Number
208-643-0859
person
Provider Business Mailing Address Details
Address
245 Poplar St
City
State
Zip
83221-4907
Phone Number
208-643-0876
Fax Number
208-643-0859
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
()
Definition
Definition to come...
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