Srs-Payson, LLC

NPI #1548835879 in Payson, Utah

Provider Information

NPI Number: 1548835879
Entity Type: Organization
Organization Name: Srs-Payson, LLC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: May 20, 2021
Last Updated: May 21, 2021

Practice Location

Address: 15 S 1000 E
City: Payson
State: Utah
ZIP Code: 84651-5590
Phone: (888) 883-6407

Authorized Official

Name: JEROME TANNENBAUM, MD
Title: CEO AND CHAIRMAN OF THE BOARD
Phone: (615) 467-0140

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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