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Bentonville Dialysis
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Tacoma, Washington
NPI 1639597628

Bentonville Dialysis is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Bentonville, WA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Bentonville Dialysis practices in Tacoma, WA. The NPI Number for Bentonville Dialysis is 1639597628 and holds a License No. 04D0922944 (Washington).

The current practice location address for Bentonville Dialysis is 1423 Pacific Ave, Tacoma, WA and can be reached out via phone at 253-382-1752.

Location: 1423 Pacific Ave, Tacoma, WA, 72712-4290
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639597628
Provider Name
Bentonville Dialysis
Credential
Provider Entity Type
Organization
Address
1423 Pacific Ave, Tacoma, WA, 72712-4290
Phone Number
253-382-1752
Fax Number
Provider Enumeration Date
04/07/2014
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
168262134 05 AR
institution
Provider Business Practice Location Address Details
Address
1423 Pacific Ave
City
Tacoma
State
Washington
Zip
98402-4203
Phone Number
253-382-1752
Fax Number
person
Provider Business Mailing Address Details
Address
1423 Pacific Ave
City
Tacoma
State
Washington
Zip
98402-4203
Phone Number
253-382-1752
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.
04D0922944 (Arkansas)
Definition
Definition to come...
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