| NPI | 1235535485 |
|---|---|
| Doing Business As | PRIMARY CHILDRENS DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | KATY WELKIE CEO/Administrator 801-662-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2015-09-25 |