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Organization

HIGH DESERT RENAL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PACE ROMNEY MD (OWNER)
(208) 705-3002
Entity
Organization

Contact information

Practice address
1675 N FREEDOM BLVD STE 15, PROVO, UT 84604-6909
(855) 759-7365
Mailing address
1751 E AUBURN RIDGE LN, DRAPER, UT 84020-5514

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary

Other

Enumeration date
01/02/2025
Last updated
01/02/2025
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