| NPI | 1700867819 |
|---|---|
| Doing Business As | GILA RIVER DIALYSIS WEST |
| Entity Type | Organization |
| Authorized Contact | JAN ANDERSON Intermin Adminstrator 602-271-7901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2020-08-22 |