ST. JOHN DIALYSIS LLC NPI 1356429500

NPI Information

ST. JOHN DIALYSIS, LLC is an end-stage renal disease (esrd) treatment clinic center in Tulsa, OK. ST. JOHN DIALYSIS, LLC NPI is 1356429500. The provider is registered as an organization entity type.

The provider's business location address is:

1515 N HARVARD AVE
TULSA, OK
ZIP 74115-957
Phone: (918) 835-5599

The provider's authorized official is Sr. M. Therese Gottschalk .
The authorized official title is President/chief Executive Officer and has the following contact phone number (918) 744-2180.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 9/7/2007.

Taxonomy Codes

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Other Identifiers

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