Physicians Choice Dialysis of Midwest City LLC

NPI #1639776222 in Del City, Oklahoma

Provider Information

NPI Number: 1639776222
Entity Type: Organization
Organization Name: Physicians Choice Dialysis of Midwest City LLC
Primary Specialty: Technician, Other - Renal Dialysis
Enumeration Date: Oct 6, 2020
Last Updated: Jan 5, 2021

Practice Location

Address: 3200 SE 29TH STREET
City: Del City
State: Oklahoma
ZIP Code: 73115
Phone: (610) 495-8900

Authorized Official

Name: KELLY SMITH
Title: DIRECTOR, CONTRACTS
Phone: (302) 290-7408

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other - Renal Dialysis — Renal Dialysis	2472R0900X	Primary

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