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Prodigy Dialysis
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Everett, Pennsylvania
NPI 1811261431

Prodigy Dialysis is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Johnstown, PA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Prodigy Dialysis practices in Everett, PA. The NPI Number for Prodigy Dialysis is 1811261431 and holds a License No. MD042825E (Pennsylvania).

The current practice location address for Prodigy Dialysis is 119 Spring Ln, Everett, PA and can be reached out via phone at 814-539-0798 and via fax at 814-536-4751.

Location: 119 Spring Ln, Everett, PA, 15905-4146
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811261431
Provider Name
Prodigy Dialysis
Credential
Provider Entity Type
Organization
Address
119 Spring Ln, Everett, PA, 15905-4146
Phone Number
814-539-0798
Fax Number
814-536-4751
Provider Enumeration Date
02/29/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
119 Spring Ln
City
Everett
State
Pennsylvania
Zip
15537-6938
Phone Number
814-539-0798
Fax Number
814-536-4751
person
Provider Business Mailing Address Details
Address
119 Spring Ln
City
Everett
State
Pennsylvania
Zip
15537-6938
Phone Number
814-539-0798
Fax Number
814-536-4751
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.
MD042825E (Pennsylvania)
Definition
Definition to come...
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