Dva Renal Healthcare INC
NPI #1457316085 in Vienna, West Virginia
Provider Information
- NPI Number
- 1457316085
- Entity Type
- Organization
- Organization Name
- Dva Renal Healthcare INC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Apr 18, 2006
- Last Updated
- May 15, 2024
Practice Location
- Address
- 800 GRAND CENTRAL MALL
- Address 2
- STE 8
- City
- Vienna
- State
- West Virginia
- ZIP Code
- 26105-4100
- Phone
- (304) 917-4124
Authorized Official
- Name
- SAMUEL WEY
- Title
- VP, LICENSURE & CERTIFICATION
- Phone
- (615) 341-6641
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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