NPI | 1730223090 |
---|---|
Doing Business As | JANE PHILLIPS DIALYSIS CENTER |
Entity Type | Organization |
Authorized Contact | MIKE A. MOORE CFO 918-331-1644 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: OK 2190) |
Enumeration Date | 2007-02-19 |
Last Update Date | 2008-05-21 |