Organization
SRS - TRUCKEE
Active
Organization
SRS - TRUCKEE
Active
Other names
Sanderling Dialysis of Truckee
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME S TANNENBAUM M.D. (ADMINISTRATOR)
(615) 467-0140
Entity
Organization
Contact information
Practice address
11430 DEERFIELD DR, TRUCKEE, CA 96161-0530
(615) 467-0140
(615) 259-0693
Mailing address
511 UNION ST STE 1800, NASHVILLE, TN 37219-1733
(615) 467-0140
(615) 259-0693
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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