| NPI | 1922037902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID PETERSON Collections Supervisor 520-584-4228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2020-08-22 |