Srs-Ely LLC

NPI #1144650722 in Ely, Nevada

Provider Information

NPI Number: 1144650722
Entity Type: Organization
Organization Name: Srs-Ely LLC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Nov 19, 2013
Last Updated: Nov 23, 2020

Practice Location

Address: 701 EAST 15TH STREET
City: Ely
State: Nevada
ZIP Code: 89301
Phone: (615) 467-0140

Authorized Official

Name: DR. JEROME SEYMOUR TANNENBAUM, M.D.,PHS, FACP
Title: PRESIDENT
Phone: (615) 467-0140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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