Peninsula Renal Care

NPI #1245259308 in Salisbury, Missouri

Provider Information

NPI Number
1245259308
Entity Type
Organization
Organization Name
Peninsula Renal Care
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Jul 19, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1340 SOUTH DIVISION STREET
Address 2
STE 302
ZIP Code
21804
Phone
(410) 742-1800

Authorized Official

Name
DR. CONSTANTE J TAN, MD
Title
MEDICAL DIRECTOR
Phone
(410) 742-1800

Specialties & Taxonomy Codes

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

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Provider Name
Curators of the University of Missouri

Part of Curators of the University of Missouri

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