Wallowa Dialysis LLC

NPI #1023360955 in Ontario, Ohio

Provider Information

NPI Number
1023360955
Entity Type
Organization
Organization Name
Wallowa Dialysis LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Oct 2, 2012
Last Updated
Sep 15, 2025

Practice Location

Address
2148 W 4TH ST
State
Ohio
ZIP Code
44906-1200
Phone
(419) 747-4039

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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