Southwest Renal Care LLC

NPI #1609644814 in Payson, Arizona

Provider Information

NPI Number
1609644814
Entity Type
Organization
Organization Name
Southwest Renal Care LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Dec 18, 2023
Last Updated
Jun 5, 2024

Practice Location

Address
809 W LONGHORN RD
City
Payson
State
Arizona
ZIP Code
85541-4280
Phone
(480) 435-6106

Authorized Official

Name
JUSTIN STRICKLAND
Title
CHIEF EXECUTIVE OFFICER
Phone
(480) 435-6106

Specialties & Taxonomy Codes

Specialty
Technician, Other - Renal DialysisRenal Dialysis
Durable Medical Equipment & Medical Supplies - Dialysis Equipment & SuppliesDialysis Equipment & Supplies
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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