Ppn Home Dialysis LLC
NPI #1366779191 in Colorado Springs, Colorado
Provider Information
- NPI Number
- 1366779191
- Entity Type
- Organization
- Organization Name
- Ppn Home Dialysis LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Nov 16, 2009
- Last Updated
- Nov 16, 2009
Practice Location
- Address
- 2002 LELARAY ST
- Address 2
- SUITE 100
- City
- Colorado Springs
- State
- Colorado
- ZIP Code
- 80909-2804
- Phone
- (719) 632-7641
Authorized Official
- Name
- BRAD H YUAN, MD
- Title
- MEDICAL DIRECTOR/OWNER
- Phone
- (719) 632-7641
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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