Organization
EUFAULA DIALYSIS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN D SMITH (CPA)
(817) 466-9333
Entity
Organization
Contact information
Practice address
480 EUNICE BURNS RD, EUFAULA, OK 74432-4000
(918) 689-7919
Mailing address
480 EUNICE BURNS RD, EUFAULA, OK 74432-4000
(918) 689-7919
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
16988
OK
Other
Enumeration date
03/19/2015
Last updated
03/19/2015
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