NPI | 1518934702 |
---|---|
Doing Business As | PIKES PEAK DIALYSIS CENTER |
Entity Type | Organization |
Authorized Contact | SAMUEL T WEY VP License & Certification 615-341-6641 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: CO 0561) |
Enumeration Date | 2006-03-07 |
Last Update Date | 2024-04-30 |