Isd Renal INC

NPI #1063923753 in Rolla, Missouri

Provider Information

NPI Number
1063923753
Entity Type
Organization
Organization Name
Isd Renal INC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Oct 20, 2017
Last Updated
Dec 18, 2023

Practice Location

Address
1702 E 10TH ST STE B
City
Rolla
ZIP Code
65401-4868
Phone
(573) 458-2013

Authorized Official

Name
SAMUEL 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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