Physicians Choice Dialysis of Bristow LLC

NPI #1518242015 in Bristow, Oklahoma

Provider Information

NPI Number: 1518242015
Entity Type: Organization
Organization Name: Physicians Choice Dialysis of Bristow LLC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Oct 15, 2011
Last Updated: Feb 6, 2015

Practice Location

Address: 402 S MAIN ST
City: Bristow
State: Oklahoma
ZIP Code: 74010-3204
Phone: (610) 495-8900

Authorized Official

Name: MRS. KELLY SMITH
Title: DIRECTOR OF LEGAL
Phone: (610) 495-8900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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