Bottle Dialysis LLC
NPI #1700167871 in Midwest City, Oklahoma
Provider Information
- NPI Number
- 1700167871
- Entity Type
- Organization
- Organization Name
- Bottle Dialysis LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Sep 2, 2011
- Last Updated
- Jan 21, 2025
Practice Location
- Address
- 9230 E RENO AVE
- Address 2
- STE A
- City
- Midwest City
- State
- Oklahoma
- ZIP Code
- 73130-3337
- Phone
- (405) 732-0744
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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