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Platte Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Tahlequah, Oklahoma
NPI 1740515378

Platte Dialysis Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, OK and is specialized in End-Stage Renal Disease (ESRD) Treatment. Platte Dialysis Llc practices in Tahlequah, OK. The NPI Number for Platte Dialysis Llc is 1740515378 and holds a License No. (Oklahoma).

The current practice location address for Platte Dialysis Llc is 1373 E Boone St, Tahlequah, OK and can be reached out via phone at 918-431-0665 and via fax at 918-431-0623.

Location: 1373 E Boone St, Tahlequah, OK, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740515378
Provider Name
Platte Dialysis Llc
Credential
Provider Entity Type
Organization
Address
1373 E Boone St, Tahlequah, OK, 37027-7569
Phone Number
918-431-0665
Fax Number
918-431-0623
Provider Enumeration Date
10/15/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200296340A 05 OK
institution
Provider Business Practice Location Address Details
Address
1373 E Boone St
City
Tahlequah
State
Oklahoma
Zip
74464-3364
Phone Number
918-431-0665
Fax Number
918-431-0623
person
Provider Business Mailing Address Details
Address
1373 E Boone St
City
Tahlequah
State
Oklahoma
Zip
74464-3364
Phone Number
918-431-0665
Fax Number
918-431-0623
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.
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Definition
Definition to come...
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