Srs - Salida LLC

NPI #1245629971 in Salida, Colorado

Provider Information

NPI Number
1245629971
Entity Type
Organization
Organization Name
Srs - Salida LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Jan 19, 2015
Last Updated
Jan 19, 2015

Practice Location

Address
1000 RUSH DR
City
Salida
ZIP Code
81201-9627
Phone
(615) 467-0140

Authorized Official

Name
DR. JEROME SEYMOUR TANNENBAUM
Title
PRESIDENT
Phone
(615) 467-0140

Specialties & Taxonomy Codes

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

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