Organization
DAVITA NEPHROLOGY MEDICAL ASSOCIATES OF WASHINGTON
Active
Other names
Kidney Care of Central Indiana
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY GABRIEL MD (PRESIDENT)
(303) 626-6239
Entity
Organization
Contact information
Practice address
1140 W JEFFERSON ST, B, FRANKLIN, IN 46131-2101
(317) 736-4337
(317) 736-6508
Mailing address
1627 COLE BLVD, BLDG18, LAKEWOOD, CO 80401-3315
(303) 626-6239
(866) 917-5396
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200865690A
—
IN
Enumeration date
08/31/2006
Last updated
12/19/2011
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