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
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) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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