| NPI | 1770751430 |
|---|---|
| Doing Business As | LIBERTY DIALYSIS - SOUTH DENVER |
| Entity Type | Organization |
| Authorized Contact | RYAN B PARDO Vice President 206-236-5001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-02-15 |