Srs-American Fork, LLC
NPI #1720653942 in American Fork, Utah
Provider Information
- NPI Number
- 1720653942
- Entity Type
- Organization
- Organization Name
- Srs-American Fork, LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- May 20, 2021
- Last Updated
- May 21, 2021
Practice Location
- Address
- 1159 E 200 N
- City
- American Fork
- State
- Utah
- ZIP Code
- 84003-2022
- Phone
- (888) 893-7783
Authorized Official
- Name
- JEROME S TANNENBAUM, MD
- Title
- CEO AND CHAIRMAN OF THE BOARD
- Phone
- (615) 467-0140
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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