Organization
RENAL TREATMENT CENTERS WEST INC
Active
Other names
Desert Ridge Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS O USILTON JR. (GROUP VICE PRESIDENT)
(770) 541-7922
Entity
Organization
Contact information
Practice address
8573 EAST PRINCESS DRIVE, STE 111, SCOTTSDALE, AZ 85255-7823
(480) 419-2533
(480) 563-3877
Mailing address
5200 VIRGINIA WAY, STE 400, BRENTWOOD, TN 37027-7569
(615) 320-4435
(303) 209-7821
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
OTC3657
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
959182
—
AZ
Enumeration date
04/13/2006
Last updated
07/12/2007
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