Organization
SOUTHWEST KIDNEY DIALYSIS, LLC
Active
Other names
Southwest Kidney Dialysis - Phoenix
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE R. MAUVAIS (CHIEF FINANCIAL OFFICER)
(480) 610-6110
Entity
Organization
Contact information
Practice address
337 E CORONADO RD, SUITE 101, PHOENIX, AZ 85004-1580
(480) 610-6100
(480) 610-6195
Mailing address
2149 E WARNER RD, SUITE 101, TEMPE, AZ 85284-3494
(480) 610-6110
(602) 253-9465
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
07/31/2006
Last updated
10/30/2007
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