| NPI | 1164785747 |
|---|---|
| Other Name | YUMA DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | TYLER BLOOM No Response Claims Manager 253-382-1108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 281P00000X Chronic Disease Hospital (Licence: AZ OTC-3619) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2012-06-19 |