| Davita Nephrology Partners | |
|
880 E 3900 S Ste B Salt Lake City UT 84107-2151 | |
| (801) 268-1296 | |
| (801) 268-0340 |
| Full Name | Davita Nephrology Partners |
|---|---|
| Speciality | Internal Medicine - Nephrology |
| Location | 880 E 3900 S, Salt Lake City, Utah |
| Authorized Official Name and Position | Gary William Bell (VICE PRESIDENT & CONTROLLER) |
| Authorized Official Contact | 8003104872 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Davita Nephrology Partners Po Box 2355 Tacoma WA 98401 Ph: (800) 310-4872 | Davita Nephrology Partners 880 E 3900 S Ste B Salt Lake City UT 84107-2151 Ph: (801) 268-1296 |
| NPI Number | 1679533012 |
|---|---|
| Provider Enumeration Date | 03/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679533012 | NPI | - | NPPES |
| W0522 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary |
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