Organization
PHYSICIANS CHOICE DIALYSIS OF BETHANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY SMITH (DIRECTOR)
(302) 290-7408
Entity
Organization
Contact information
Practice address
2202 N. FLAMINGO AVENUE, BETHANY, OK 73008
(610) 495-8900
Mailing address
211 COMMERCE CT STE 104, POTTSTOWN, PA 19464-3483
(302) 290-7408
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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