| NPI | 1598871337 |
|---|---|
| Doing Business As | UINTAH BASIN DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | EDWIN C BULLOCH Administrator 435-722-5056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: UT 2005-ESRD-229) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-08-22 |