NPI | 1205881232 |
---|---|
Doing Business As | PRESCOTT 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 OTC3997) |
Enumeration Date | 2006-05-25 |
Last Update Date | 2022-01-03 |