institution
Wakonda Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Salem, Utah
NPI 1992223556

Wakonda Dialysis Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, UT and is specialized in End-Stage Renal Disease (ESRD) Treatment. Wakonda Dialysis Llc practices in Salem, UT. The NPI Number for Wakonda Dialysis Llc is 1992223556 and holds a License No. (Utah).

The current practice location address for Wakonda Dialysis Llc is 555 W State Road 164 Ste 101, Salem, UT and can be reached out via phone at 801-798-7903 and via fax at 801-798-7237.

Location: 555 W State Road 164 Ste 101, Salem, UT, 37027-7569
institution
Provider Profile Details
NPI Number
1992223556
Provider Name
Wakonda Dialysis Llc
Credential
Provider Entity Type
Organization
Address
555 W State Road 164 Ste 101, Salem, UT, 37027-7569
Phone Number
801-798-7903
Fax Number
801-798-7237
Provider Enumeration Date
09/05/2017
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1992223556 05 UT
institution
Provider Business Practice Location Address Details
Address
555 W State Road 164 Ste 101
City
State
Zip
84653-5732
Phone Number
801-798-7903
Fax Number
801-798-7237
person
Provider Business Mailing Address Details
Address
555 W State Road 164 Ste 101
City
State
Zip
84653-5732
Phone Number
801-798-7903
Fax Number
801-798-7237
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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