Organization
DIALYSIS CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONOVAN SCHULTZ II (PRESIDENT)
(615) 327-3061
Entity
Organization
Contact information
Practice address
85 WEST HIGHWAY 22, SANTO DOMINGO PUEBLO, NM 87052
(505) 465-2003
(505) 465-2165
Mailing address
1500 INDIAN SCHOOL RD NE, ALBUQUERQUE, NM 87102-1646
(505) 724-1500
(505) 724-1528
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
12/07/2009
Last updated
10/04/2023
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