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Fayetteville Dialysis
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Tacoma, Washington
NPI 1811315971

Fayetteville Dialysis is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Fayetteville, WA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Fayetteville Dialysis practices in Tacoma, WA. The NPI Number for Fayetteville Dialysis is 1811315971 and holds a License No. 04D0922946 (Washington).

The current practice location address for Fayetteville Dialysis is 1423 Pacific Ave, Tacoma, WA and can be reached out via phone at 253-382-1752. You can also correspond with Fayetteville Dialysis through the mailing address at 509 E MILLSAP RD, FAYETTEVILLE, AR - 72703-4067 (mailing address contact number: 479-443-6688).

Location: 1423 Pacific Ave, Tacoma, WA, 72703-4067
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811315971
Provider Name
Fayetteville Dialysis
Credential
Provider Entity Type
Organization
Address
1423 Pacific Ave, Tacoma, WA, 72703-4067
Phone Number
253-382-1752
Fax Number
Provider Enumeration Date
04/04/2014
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
168261134 05 AR
institution
Provider Business Practice Location Address Details
Address
1423 Pacific Ave
City
Tacoma
State
Washington
Zip
98402-4203
Phone Number
253-382-1752
Fax Number
person
Provider Business Mailing Address Details
Address
1423 Pacific Ave
City
Tacoma
State
Washington
Zip
98402-4203
Phone Number
253-382-1752
Fax Number
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.
04D0922946 (Arkansas)
Definition
Definition to come...
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