NPI | 1124707674 |
---|---|
Doing Business As | BRIDGE DIALYSIS OF ARIZONA |
Entity Type | Organization |
Authorized Contact | TANGINA MALOOF Treasurer 469-636-5055 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2023-07-12 |
Last Update Date | 2024-04-11 |