Liberty Dialysis - Castle Rock Llc

NPI 1255509170 - Clinic/Center - 261QE0700X

NPI Details
NPI 1255509170
Enumeration Date 02/13/2008
Last Updated 04/06/2011
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name RYAN B RYAN
Position VICE PRESIDENT
Phone (206) 236-5001
Fax
Practice Location
4352 TRAIL BOSS DR
CASTLE ROCK CO, 80104-7512, US
Phone (206) 236-5001
Fax
Business Location
7650 SE 27TH ST
SUITE 200
MERCER ISLAND WA, 98040-3060, US
Phone (206) 236-5001
Fax
Toxanomy
Taxonomy Code 261QE0700X
License State
License Number
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According to our database, Liberty Dialysis - Castle Rock Llc NPI is 1255509170, taxonomy code is 261QE0700X Liberty Dialysis - Castle Rock Llc physically located at 4352 Trail Boss Dr, Castle Rock CO, 80104-7512. NPI Number 1033115704 has the healthcare provider type.

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1255509170 NPI number is provided on an as is basis without warranty of any kind. 1255509170 is maintained by the National Plan & Provider Enumeration System. The contents of Liberty Dialysis - Castle Rock Llc are for informational purposes only.