Prescott Renal Care Group, LLC

NPI #1386756195 in Dewey, Arizona

Provider Information

NPI Number
1386756195
Entity Type
Organization
Organization Name
Prescott Renal Care Group, LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Aug 31, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
13175 E HIGHWAY 169
City
Dewey
State
Arizona
ZIP Code
86327-7372
Phone
(928) 713-5122

Authorized Official

Name
MARK FAWCETT
Title
TREASURER
Phone
(781) 402-9000

Specialties & Taxonomy Codes

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

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