Dva Renal Healthcare INC

NPI #1023081999 in Nogales, Arizona

Provider Information

NPI Number: 1023081999
Entity Type: Organization
Organization Name: Dva Renal Healthcare INC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Feb 9, 2006
Last Updated: Mar 3, 2025

Practice Location

Address: 1605 N INDUSTRIAL PARK DR STE H
City: Nogales
State: Arizona
ZIP Code: 85621-4577
Phone: (520) 281-5779

Authorized Official

Name: SAMUEL T WEY
Title: VP, LICENSURE & CERTIFICATION
Phone: (615) 341-6641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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