Organization
PHYSICIANS CHOICE DIALYSIS OF MIDWEST CITY LLC
Active
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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