| NPI | 1841734720 |
|---|---|
| Doing Business As | PEDIATRIC DIALYSIS CENTER OF PHOENIX |
| Entity Type | Organization |
| Authorized Contact | SHARI K COUSINS Sr. VP Of Clinical & Regulatory 978-922-3080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2020-03-12 |