Organization
DVA HEALTHCARE RENAL CARE, INC.
Active
Other names
Yuma Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER BLOOM (NO RESPONSE CLAIMS MANAGER)
(253) 382-1108
Entity
Organization
Contact information
Practice address
2130 W 24TH ST, YUMA, AZ 85364-6122
(928) 783-2365
Mailing address
2130 W 24TH ST, YUMA, AZ 85364-6122
(928) 783-6122
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
OTC-3619
AZ
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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