Southwest Kidney Davita Dialysis Partners LLC
NPI #1093071821 in Wickenburg, Arizona
Provider Information
- NPI Number
- 1093071821
- Entity Type
- Organization
- Organization Name
- Southwest Kidney Davita Dialysis Partners LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Apr 5, 2012
- Last Updated
- Jan 2, 2025
Practice Location
- Address
- 811 N TEGNER ST
- Address 2
- SUITES 101, 103, 105, 107
- City
- Wickenburg
- State
- Arizona
- ZIP Code
- 85390-5409
- Phone
- (928) 684-6898
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) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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