institution
Liberty Dialysis-weber County, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in South Ogden, Utah
NPI 1770951030

Liberty Dialysis-weber County, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in South Ogden, UT and is specialized in End-Stage Renal Disease (ESRD) Treatment. Liberty Dialysis-weber County, Llc practices in South Ogden, UT. The NPI Number for Liberty Dialysis-weber County, Llc is 1770951030 and holds a License No. (Utah).

The current practice location address for Liberty Dialysis-weber County, Llc is 475 40Th St Ste 110, South Ogden, UT and can be reached out via phone at 801-627-2886 and via fax at 801-621-1570.

Location: 475 40Th St Ste 110, South Ogden, UT, 84403-1856
institution
Provider Profile Details
NPI Number
1770951030
Provider Name
Liberty Dialysis-weber County, Llc
Credential
Provider Entity Type
Organization
Address
475 40Th St Ste 110, South Ogden, UT, 84403-1856
Phone Number
801-627-2886
Fax Number
801-621-1570
Provider Enumeration Date
09/03/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
462547 01 UT PTAN
institution
Provider Business Practice Location Address Details
Address
475 40Th St Ste 110
City
State
Zip
84403-1856
Phone Number
801-627-2886
Fax Number
801-621-1570
person
Provider Business Mailing Address Details
Address
475 40Th St Ste 110
City
State
Zip
84403-1856
Phone Number
801-627-2886
Fax Number
801-621-1570
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
(Utah)
Definition
Definition to come...
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