is a End-stage Renal Disease (esrd) Treatment in Bolivar, Missouri. practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for is 1396857264. The last update date is .
's current location address is 2101 W Broadway St, Bolivar, Missouri. You can contact this provider via phone number 4173263112 and fax number 4177776363. The mailing address for is 2101 W Broadway St, Bolivar, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 2101 W Broadway St, Bolivar, Missouri |
Phone Number | 4173263112 |
Fax Number | 4177776363 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1396857264 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 2101 W Broadway St |
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City | Bolivar |
State | Missouri (MO) |
Post Code | 656131888 |
Phone Number | 4173263112 |
Fax Number | 4177776363 |
Provider's Primary Taxonomy Detail
Speciality | End-stage Renal Disease (esrd) Treatment |
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Taxonomy | 261Qe0700X |
Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
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