Organization
LIBERTY DIALYSIS - ALASKA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS L. WEINBERG (AUTHORIZED OFFICIAL)
(214) 736-2730
Entity
Organization
Contact information
Practice address
901 E DIMOND BLVD, ANCHORAGE, AK 99515-2007
(907) 522-9009
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
02/14/2008
Last updated
11/02/2020
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