Trc - Four Corners Dialysis Clinics LLC

NPI #1083670723 in Tuba City, Arizona

Provider Information

NPI Number
1083670723
Entity Type
Organization
Organization Name
Trc - Four Corners Dialysis Clinics LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Apr 21, 2006
Last Updated
Sep 23, 2024

Practice Location

Address
500 EDGEWATER DRIVE
State
Arizona
ZIP Code
86045-2905
Phone
(928) 283-4525

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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