Isd Renal INC

NPI #1205881232 in Prescott, Arizona

Provider Information

NPI Number: 1205881232
Entity Type: Organization
Organization Name: Isd Renal INC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: May 25, 2006
Last Updated: Sep 9, 2024

Practice Location

Address: 980 WILLOW CREEK RD STE 101
City: Prescott
State: Arizona
ZIP Code: 86301-1619
Phone: (928) 776-9459

Authorized Official

Name: SAMUEL T WEY
Title: VP, LICENSURE & CERTIFICATION
Phone: (615) 341-6641

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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