| NPI | 1013981679 |
|---|---|
| Doing Business As | TUCSON SOUTH CENTRAL DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | JOHN WINSTEL Chief Accounting Officer 253-733-4501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: AZ OTC2992) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2021-11-19 |