Dva Healthcare Renal Care, Inc.

NPI #1164785747 in Yuma, Arizona

Provider Information

NPI Number
1164785747
Entity Type
Organization
Organization Name
Dva Healthcare Renal Care, Inc.
Primary Specialty
Chronic Disease Hospital
Enumeration Date
Jun 19, 2012
Last Updated
Jun 19, 2012

Practice Location

Address
2130 W 24TH ST
City
Yuma
State
Arizona
ZIP Code
85364-6122
Phone
(928) 783-2365

Authorized Official

Name
TYLER BLOOM
Title
NO RESPONSE CLAIMS MANAGER
Phone
(253) 382-1108

Specialties & Taxonomy Codes

Specialty
Chronic Disease Hospital

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