| NPI | 1447620836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN GENE KIDMAN Partner 801-930-0131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2015-09-29 |