Organization
DIALYSIS SPECIALISTS OF MARION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUBBARAYUDU KOPPERA MD (PRESIDENT/OWNER)
(614) 371-5580
Entity
Organization
Contact information
Practice address
125 EXECUTIVE DR, MARION, OH 43302-6285
(740) 401-0880
(740) 401-0885
Mailing address
125 EXECUTIVE DR, MARION, OH 43302-6285
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
05/30/2011
Last updated
05/30/2011
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