Organization
COMMUNITY DIALYSIS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCY BURCIAGA MD (OWNER CEO)
(520) 459-5959
Entity
Organization
Contact information
Practice address
4525 CAMPUS DRIVE, SIERRA VISTA, AZ 85635
(520) 459-5959
Mailing address
4576 PASEO BRAZOS, SIERRA VISTA, AZ 85635-2375
(520) 459-5959
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
5215
AZ
Other
Enumeration date
10/11/2006
Last updated
08/22/2020
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