Organization
NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA LLC
Active
Other names
DaVita Nephrology Partners
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN STRACK (VICE PRESIDENT)
(303) 626-6103
Entity
Organization
Contact information
Practice address
1050 W ELM ST, STE 160, HERMISTON, OR 97838
(541) 564-1810
(541) 564-1812
Mailing address
PO BOX 2355, TACOMA, WA 98401
(800) 310-4872
(877) 328-4923
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277872
—
OR
Enumeration date
03/27/2006
Last updated
01/16/2008
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