Srs-Utah LLC

NPI #1225792997 in Nashville, Tennessee

Provider Information

NPI Number
1225792997
Entity Type
Organization
Organization Name
Srs-Utah LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Oct 28, 2021
Last Updated
Oct 28, 2021

Practice Location

Address
511 UNION ST STE 1800
ZIP Code
37219-2509
Phone
(615) 499-5199

Authorized Official

Name
MR. JEROME S TANNENBAUM, MD
Title
CEO/PRESIDENT
Phone
(855) 754-7365

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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