Organization
CLEVELAND NEPHROLOGY, PLLC
Active
Organization
CLEVELAND NEPHROLOGY, PLLC
Active
Other names
Home Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OSWALD LLANDEROSOS MD (OWNER/MEMBER)
(405) 329-3830
Entity
Organization
Contact information
Practice address
1059 SE 82ND, OKLAHOMA CITY, OK 73149
(405) 512-6912
Mailing address
1561 N PORTER AVE, NORMAN, OK 73071-6621
(405) 329-3830
(405) 329-3791
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
OK
Other
Enumeration date
01/08/2010
Last updated
01/08/2010
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