Fort Smith Regional Dialysis, Llc

NPI 1821131665 - Internal Medicine - 207RN0300X

NPI Details
NPI 1821131665
Enumeration Date 02/14/2007
Last Updated 06/13/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LAURA LAURA
Position EXECUTIVE DIRECTOR
Phone (479) 755-6700
Fax (479) 755-6704
Practice Location
319 N 2ND ST
STILWELL OK, 74960-2609, US
Phone (479) 755-6700
Fax (479) 755-6704
Business Location
2201 BROOKEN HILL DR
FORT SMITH AR, 72908-8611, US
Phone (479) 755-6700
Fax (479) 755-6704
Toxanomy
Taxonomy Code 207RN0300X
License State
License Number
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According to our database, Fort Smith Regional Dialysis, Llc NPI is 1821131665, taxonomy code is 207RN0300X Fort Smith Regional Dialysis, Llc physically located at 319 N 2nd St, Stilwell OK, 74960-2609. NPI Number 1033115704 has the healthcare provider type.

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1821131665 NPI number is provided on an as is basis without warranty of any kind. 1821131665 is maintained by the National Plan & Provider Enumeration System. The contents of Fort Smith Regional Dialysis, Llc are for informational purposes only.