Platte Dialysis LLC

NPI #1972844884 in Stilwell, Oklahoma

Provider Information

NPI Number: 1972844884
Entity Type: Organization
Organization Name: Platte Dialysis LLC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Mar 4, 2013
Last Updated: Jan 11, 2024

Practice Location

Address: 81143 HIGHWAY 59
City: Stilwell
State: Oklahoma
ZIP Code: 74960-1641
Phone: (918) 696-5072

Authorized Official

Name: SAMUEL T WEY
Title: VP LICENSURE & CERTIFICATION
Phone: (615) 341-6641

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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