Dva Renal Healthcare INC

NPI #1902867203 in Cameron, Missouri

Provider Information

NPI Number: 1902867203
Entity Type: Organization
Organization Name: Dva Renal Healthcare INC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Mar 28, 2006
Last Updated: May 13, 2020

Practice Location

Address: 1003 W 4TH ST
City: Cameron
State: Missouri
ZIP Code: 64429-1466
Phone: (816) 632-6056

Authorized Official

Name: JOHN WINSTEL
Title: CHIEF ACCOUNTING OFFICER
Phone: (253) 733-4501

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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