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St. John Dialysis, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Sapulpa, Oklahoma
NPI 1639255243

St. John Dialysis, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Tulsa, OK and is specialized in End-Stage Renal Disease (ESRD) Treatment. St. John Dialysis, Llc practices in Sapulpa, OK. The NPI Number for St. John Dialysis, Llc is 1639255243 and holds a License No. 2265 (Oklahoma).

The current practice location address for St. John Dialysis, Llc is 1013 E Cleveland Ave, Sapulpa, OK and can be reached out via phone at 918-227-3351.

Location: 1013 E Cleveland Ave, Sapulpa, OK, 74104-6520
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639255243
Provider Name
St. John Dialysis, Llc
Credential
Provider Entity Type
Organization
Address
1013 E Cleveland Ave, Sapulpa, OK, 74104-6520
Phone Number
918-227-3351
Fax Number
Provider Enumeration Date
10/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000370114001 01 OK BCBS
institution
Provider Business Practice Location Address Details
Address
1013 E Cleveland Ave
City
Sapulpa
State
Oklahoma
Zip
74066-4516
Phone Number
918-227-3351
Fax Number
person
Provider Business Mailing Address Details
Address
1013 E Cleveland Ave
City
Sapulpa
State
Oklahoma
Zip
74066-4516
Phone Number
918-227-3351
Fax Number
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.
2265 (Oklahoma)
Definition
Definition to come...
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