Organization
NEPHROLOGY MEDICAL ASSOCIATES OF GA LLC
Active
Other names
Nebraska Kidney Care
Organization subpart
No
Provider details
NPI number
Authorized official
DERON FRANK (GENERAL MANAGER/VP)
(310) 536-2402
Entity
Organization
Contact information
Practice address
715 N KANSAS AVE, 202, HASTINGS, NE 68901-4453
(402) 463-2344
(402) 463-2355
Mailing address
2000 16TH ST, DENVER, CO 80202
(303) 876-7243
(866) 917-5396
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
07/23/2007
Last updated
12/26/2012
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