Organization
PHYSICIANS CHOICE DIALYSIS OF MIDWEST CITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY SMITH (DIRECTOR, CONTRACTS)
(302) 290-7408
Entity
Organization
Contact information
Practice address
3200 SE 29TH STREET, DEL CITY, OK 73115
(610) 495-8900
Mailing address
211 COMMERCE CT STE 104, POTTSTOWN, PA 19464-3483
(302) 290-7408
(610) 495-8652
Taxonomy
Speciality
Code
Description
License number
State
2472R0900X
Renal Dialysis Technician
Primary
—
—
Other
Enumeration date
10/06/2020
Last updated
01/05/2021
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