Organization
RENAL DIMENSIONS, LLC
Active
Organization
RENAL DIMENSIONS, LLC
Active
Other names
Renal Care Group-Southeast Valley
Organization subpart
No
Provider details
NPI number
Authorized official
MARK FAWCETT (TREASURER)
(781) 402-9000
Entity
Organization
Contact information
Practice address
22715 S ELLSWORTH RD, BUILDING D, QUEEN CREEK, AZ 85242-6119
(480) 677-2463
Mailing address
22715 S ELLSWORTH RD, BUILDING D, QUEEN CREEK, AZ 85242-6119
(480) 677-2463
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
10/23/2006
Last updated
08/22/2020
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