Organization
ESTRELLA MOUNTAIN DIALYSIS LLC
Active
Organization
ESTRELLA MOUNTAIN DIALYSIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization
Contact information
Practice address
9250 W THOMAS RD, SUITE 120, PHOENIX, AZ 85037-3382
(623) 772-7363
(623) 772-7364
Mailing address
9250 W THOMAS RD, SUITE 120, PHOENIX, AZ 85037-3382
(623) 772-7363
(623) 772-7364
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
802100
—
AZ
Enumeration date
07/19/2012
Last updated
05/20/2026
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