Organization
YUMA KIDNEY & DIALYSIS SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRFAN FAZIL MD (CEO)
(928) 366-7364
Entity
Organization
Contact information
Practice address
11518 N FRONTAGE RD STE A, YUMA, AZ 85367-8994
(928) 342-6500
Mailing address
PO BOX 669, YUMA, AZ 85366-2329
(928) 247-6516
(928) 366-1075
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
AZ
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/19/2018
Last updated
06/23/2023
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