Prodigy Dialysis
NPI #1902170525 in Carrolltown, Pennsylvania
Provider Information
- NPI Number
- 1902170525
- Entity Type
- Organization
- Organization Name
- Prodigy Dialysis
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Feb 29, 2012
- Last Updated
- Sep 25, 2012
Practice Location
- Address
- 387 THEATRE RD
- City
- Carrolltown
- State
- Pennsylvania
- ZIP Code
- 15722-7805
- Phone
- (814) 539-0798
Authorized Official
- Name
- CORY YACYNYCH
- Title
- PRACTICE MANAGER
- Phone
- (814) 299-4676
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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