Srs - Truckee
NPI #1548685746 in Truckee, California
Provider Information
- NPI Number
- 1548685746
- Entity Type
- Organization
- Organization Name
- Srs - Truckee
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Feb 25, 2014
- Last Updated
- Feb 25, 2014
Practice Location
- Address
- 11430 DEERFIELD DR
- City
- Truckee
- State
- California
- ZIP Code
- 96161-0530
- Phone
- (615) 467-0140
Authorized Official
- Name
- DR. JEROME S TANNENBAUM, M.D.
- Title
- ADMINISTRATOR
- Phone
- (615) 467-0140
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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