Isd Renal INC
NPI #1568417681 in Cottonwood, Arizona
Provider Information
- NPI Number
- 1568417681
- Entity Type
- Organization
- Organization Name
- Isd Renal INC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- May 24, 2006
- Last Updated
- Sep 12, 2025
Practice Location
- Address
- 1699 E COTTONWOOD ST
- Address 2
- STE A200
- City
- Cottonwood
- State
- Arizona
- ZIP Code
- 86326-4604
- Phone
- (928) 634-9295
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) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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