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Organization

SOUTHWEST RENAL CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUSTIN STRICKLAND (CHIEF EXECUTIVE OFFICER)
(480) 435-6106
Entity
Organization

Contact information

Practice address
9977 N 90TH ST STE 160, SCOTTSDALE, AZ 85258-4499
(480) 435-6106
Mailing address
9977 N 90TH ST STE 160, SCOTTSDALE, AZ 85258-4499
(480) 435-6106

Taxonomy

Speciality
Code
Description
License number
State
2472R0900X
Renal Dialysis Technician
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
332BD1200X
Dialysis Equipment & Supplies (DME)

Other

Enumeration date
12/18/2023
Last updated
03/30/2026
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