Sanderling Renal Services of Holdenville
NPI #1124377460 in Holdenville, Oklahoma
Provider Information
- NPI Number
- 1124377460
- Entity Type
- Organization
- Organization Name
- Sanderling Renal Services of Holdenville
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Aug 31, 2012
- Last Updated
- Mar 27, 2024
Practice Location
- Address
- 102 CRESTVIEW ST
- City
- Holdenville
- State
- Oklahoma
- ZIP Code
- 74848-2844
- Phone
- (615) 467-0140
Authorized Official
- Name
- DR. JEREOME S TANNENBAUM, M.D.,PH.D.
- Title
- ADMINISTRATOR
- Phone
- (615) 467-0140
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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