institution
Stockton Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Moore, Oklahoma
NPI 1821496217

Stockton 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. Stockton Dialysis Llc practices in Moore, OK. The NPI Number for Stockton Dialysis Llc is 1821496217 and holds a License No. (Oklahoma).

The current practice location address for Stockton Dialysis Llc is 620 S Santa Fe Ave Ste C, Moore, OK and can be reached out via phone at 405-799-2439 and via fax at 405-799-2409.

Location: 620 S Santa Fe Ave Ste C, Moore, OK, 37027-7569
institution
Provider Profile Details
NPI Number
1821496217
Provider Name
Stockton Dialysis Llc
Credential
Provider Entity Type
Organization
Address
620 S Santa Fe Ave Ste C, Moore, OK, 37027-7569
Phone Number
405-799-2439
Fax Number
405-799-2409
Provider Enumeration Date
12/17/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200694610A 05 OK
institution
Provider Business Practice Location Address Details
Address
620 S Santa Fe Ave Ste C
City
State
Zip
73160-2476
Phone Number
405-799-2439
Fax Number
405-799-2409
person
Provider Business Mailing Address Details
Address
620 S Santa Fe Ave Ste C
City
State
Zip
73160-2476
Phone Number
405-799-2439
Fax Number
405-799-2409
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
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Definition
Definition to come...
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