Organization
LIBERTY DIALYSIS - AHP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN B PARDO (VICE PRESIDENT)
(206) 816-6506
Entity
Organization
Contact information
Practice address
4050 LAKE OTIS PKWY, SUITE 106, ANCHORAGE, AK 99508-5212
(206) 236-5001
Mailing address
7650 SE 27TH ST, SUITE 200, MERCER ISLAND, WA 98040-3060
(206) 236-5001
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
11/19/2007
Last updated
09/24/2008
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