High Desert Renal PC

NPI #1649089814 in Provo, Utah

Provider Information

NPI Number: 1649089814
Entity Type: Organization
Organization Name: High Desert Renal PC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Jan 2, 2025
Last Updated: Jan 2, 2025

Practice Location

Address: 1675 N FREEDOM BLVD STE 15
City: Provo
State: Utah
ZIP Code: 84604-6909
Phone: (855) 759-7365

Authorized Official

Name: DR. PACE ROMNEY, MD
Title: OWNER
Phone: (208) 705-3002

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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