Organization
SPECTRUM DIALYSIS AZ INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EYAL SHTORCH MD (OWNER)
(818) 342-3012
Entity
Organization
Contact information
Practice address
10250 N 92ND ST STE 118, SCOTTSDALE, AZ 85258-4518
(818) 342-3012
Mailing address
18040 SHERMAN WAY STE 210, RESEDA, CA 91335-4656
(818) 342-3012
(818) 342-3013
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
—
—
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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