Organization
DESERT DIALYSIS SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO PAIRSE M.D. (OWNER/MEDICAL DIRECTOR)
(623) 583-3131
Entity
Organization
Contact information
Practice address
13000 N 103RD AVE, STE. 66, SUN CITY, AZ 85351-3024
(623) 583-3131
(623) 583-5414
Mailing address
13000 N 103RD AVE, STE. 66, SUN CITY, AZ 85351-3024
(623) 583-3131
(623) 583-5414
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
19729
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
394651
—
AZ
Enumeration date
07/07/2005
Last updated
08/22/2020
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