SOUTHWEST KIDNEY DAVITA DIALYSIS PARTNERS LLC is an end-stage renal disease (esrd) treatment clinic center in Wickenburg, AZ. SOUTHWEST KIDNEY DAVITA DIALYSIS PARTNERS LLC NPI is 1093071821. The provider is registered as an organization entity type.
The provider Is Doing Business As Wickenburg Dialysis.
The provider's business location address is:
811 N TEGNER ST
SUITES 101, 103, 105, 107
WICKENBURG, AZ
ZIP 85390-409
Phone: (928) 684-6898
Fax: (928) 684-6107
The provider's authorized official is John D Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.
The CLIA number assigned to this NPI record is 03D2041753 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/5/2012 and was last updated on 4/18/2022.