institution
Srs-provo, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Provo, Utah
NPI 1679147904

Srs-provo, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Nashville, UT and is specialized in End-Stage Renal Disease (ESRD) Treatment. Srs-provo, Llc practices in Provo, UT. The NPI Number for Srs-provo, Llc is 1679147904 and holds a License No. (Utah).

The current practice location address for Srs-provo, Llc is 1675 N Freedom Blvd, Provo, UT and can be reached out via phone at 888-881-7854 and via fax at 885-631-0206. You can also correspond with Srs-provo, Llc through the mailing address at PO BOX 198813, NASHVILLE, TN - 37219-8813 (mailing address contact number: 615-988-1060).

Location: 1675 N Freedom Blvd, Provo, UT, 37219-8813
institution
Provider Profile Details
NPI Number
1679147904
Provider Name
Srs-provo, Llc
Credential
Provider Entity Type
Organization
Address
1675 N Freedom Blvd, Provo, UT, 37219-8813
Phone Number
888-881-7854
Fax Number
885-631-0206
Provider Enumeration Date
05/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1675 N Freedom Blvd
City
State
Zip
84604-2540
Phone Number
888-881-7854
Fax Number
885-631-0206
person
Provider Business Mailing Address Details
Address
1675 N Freedom Blvd
City
State
Zip
84604-2540
Phone Number
888-881-7854
Fax Number
885-631-0206
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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