Organization
SANDERLING RENAL SERVICES OF HOLDENVILLE
Active
Other names
Sanderling Dialysis Center of Holdenville
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREOME S TANNENBAUM M.D.,PH.D. (ADMINISTRATOR)
(615) 467-0140
Entity
Organization
Contact information
Practice address
102 CRESTVIEW ST, HOLDENVILLE, OK 74848-2844
(615) 467-0140
Mailing address
PO BOX 198813, NASHVILLE, TN 37219-8813
(615) 467-0140
(615) 259-0693
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/31/2012
Last updated
03/27/2024
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