TRC - FOUR CORNERS DIALYSIS CLINICS LLC

NPI # 

Practice Address:

801 W Broadway

Farmington, NM, 87401-5650

Practice Phone:

505-325-2827

Practice Fax:

505-326-7425

License Number:

6763

License State:

NM

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code:

261QE0700X