Liberty Dialysis Pueblo LLC

NPI #1790953453 in Pueblo, Colorado

Provider Information

NPI Number
1790953453
Entity Type
Organization
Organization Name
Liberty Dialysis Pueblo LLC
Subpart
Yes (part of a larger organization)
Parent Organization
U.S. RENAL CARE, INC.
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Feb 15, 2008
Last Updated
Mar 31, 2016

Practice Location

Address
850 EAGLE RIDGE BLVD
City
Pueblo
ZIP Code
81008-2148
Phone
(719) 253-5980

Authorized Official

Name
THOMAS L. WEINBERG
Title
AUTHORIZED OFFICIAL
Phone
(214) 736-2700

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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