Organization
AMERICAN DIALYSIS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NWANDO H IKEDIONWU B. ACCOUNTING (ADMINISTRATOR)
(580) 353-5522
Entity
Organization
Contact information
Practice address
1819 W GORE BLVD, LAWTON, OK 73501-3614
(580) 353-5522
(580) 248-3042
Mailing address
1819 W GORE BLVD, LAWTON, OK 73501-3614
(580) 353-5522
(580) 248-3042
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
372535
OK
Other
Enumeration date
01/05/2007
Last updated
08/22/2020
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