Organization
NO ROLL UP TIMPANOGOS LLC
Active
Other names
Timpanogos Dialysis Center
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
1055 N 500 W, STE 222, PROVO, UT 84604-3329
(801) 356-8907
(801) 377-6832
Mailing address
5200 VIRGINIA WAY, STE 400 L&C, 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
—
UT
Other
Enumeration date
04/14/2006
Last updated
04/20/2008
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