Petra Dialysis LLC
NPI #1710439187 in Indio, California
Provider Information
- NPI Number
- 1710439187
- Entity Type
- Organization
- Organization Name
- Petra Dialysis LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Nov 1, 2016
- Last Updated
- May 10, 2024
Practice Location
- Address
- 82900 AVENUE 42
- Address 2
- STE E
- City
- Indio
- State
- California
- ZIP Code
- 92203-9658
- Phone
- (760) 342-6842
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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