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Liberty Dialysis Pueblo Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Pueblo, Colorado
NPI 1790953453

Liberty Dialysis Pueblo Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Nashville, CO and is specialized in End-Stage Renal Disease (ESRD) Treatment. Liberty Dialysis Pueblo Llc practices in Pueblo, CO. The NPI Number for Liberty Dialysis Pueblo Llc is 1790953453 and holds a License No. (Colorado).

The current practice location address for Liberty Dialysis Pueblo Llc is 850 Eagle Ridge Blvd, Pueblo, CO and can be reached out via phone at 719-253-5980 and via fax at 719-583-0833.

Location: 850 Eagle Ridge Blvd, Pueblo, CO, 37219-2301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790953453
Provider Name
Liberty Dialysis Pueblo Llc
Credential
Provider Entity Type
Organization
Address
850 Eagle Ridge Blvd, Pueblo, CO, 37219-2301
Phone Number
719-253-5980
Fax Number
719-583-0833
Provider Enumeration Date
02/15/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02224887 05 CO
institution
Provider Business Practice Location Address Details
Address
850 Eagle Ridge Blvd
City
Pueblo
State
Colorado
Zip
81008-2148
Phone Number
719-253-5980
Fax Number
719-583-0833
person
Provider Business Mailing Address Details
Address
850 Eagle Ridge Blvd
City
Pueblo
State
Colorado
Zip
81008-2148
Phone Number
719-253-5980
Fax Number
719-583-0833
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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