Puridia LLC

NPI #1265050264 in Las Vegas, Nevada

Provider Information

NPI Number
1265050264
Entity Type
Organization
Organization Name
Puridia LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Jul 7, 2020
Last Updated
Jul 7, 2020

Practice Location

Address
2121 E FLAMINGO RD STE 102
State
Nevada
ZIP Code
89119-5123
Phone
(808) 312-8059

Authorized Official

Name
ADAM BAGLEY
Title
FOUNDER/CFO
Phone
(808) 312-8059

Specialties & Taxonomy Codes

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

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