Organization
KIDNEY CARE CENTER NEW MEXICO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORUFU ALAUSA MD (MEDICAL DIRECTOR)
(815) 741-6830
Entity
Organization
Contact information
Practice address
880 ANTHONY DR, STE 3A, ANTHONY, NM 88021-9346
(815) 741-6830
(815) 741-6832
Mailing address
PO BOX 3877, JOLIET, IL 60434-3877
(815) 741-6830
(815) 741-6832
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
05/13/2016
Last updated
09/27/2016
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