Dva Renal Healthcare INC

NPI #1962461038 in Monroe, Louisiana

Provider Information

NPI Number
1962461038
Entity Type
Organization
Organization Name
Dva Renal Healthcare INC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Mar 18, 2006
Last Updated
Aug 14, 2007

Practice Location

Address
309 JACKSON ST
City
Monroe
ZIP Code
71201-7407
Phone
(318) 327-4409

Authorized Official

Name
THOMAS O USILTON JR.
Title
GROUP VICE PRESIDENT
Phone
(770) 541-7922

Specialties & Taxonomy Codes

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

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