| NPI | 1265615934 |
|---|---|
| Doing Business As | MOUNTAIN VISTA DIALYSIS CENTER OF ARIZONA |
| Entity Type | Organization |
| Authorized Contact | SAMUEL T WEY VP Licensure&Certification 615-341-6641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: AZ OTC-4509) |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2024-04-04 |