Bullock Dialysis LLC

NPI #1477018810 in Fairfield, Ohio

Provider Information

NPI Number
1477018810
Entity Type
Organization
Organization Name
Bullock Dialysis LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Feb 8, 2019
Last Updated
Jul 12, 2024

Practice Location

Address
1210 HICKS BLVD
State
Ohio
ZIP Code
45014-1921
Phone
(513) 939-1120

Authorized Official

Name
SAMUEL T WEY
Title
VP LICENSURE & CERTIFICATION
Phone
(615) 341-6641

Specialties & Taxonomy Codes

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

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