| NPI | 1457897159 |
|---|---|
| Doing Business As | DAVITA MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | BRUCE MINEAR Chief Executive Officer 719-590-1177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2017-01-18 |