NPI | 1295815744 |
---|---|
Other Name | DIALYSIS |
Entity Type | Organization |
Authorized Contact | DOUGALS ALAN MCMILLAN CEO 307-578-2489 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: WY 06-003) |
Enumeration Date | 2006-10-17 |
Last Update Date | 2021-02-18 |