| NPI | 1366779191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD H YUAN Medical Director/Owner 719-632-7641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2009-11-16 |