| NPI | 1720653942 |
|---|---|
| Doing Business As | SRS DIALYSIS OF AMERICAN FORK |
| Entity Type | Organization |
| Authorized Contact | JEROME S TANNENBAUM CEO And Chairman Of The Board 615-467-0140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2021-05-21 |