PRODIGY DIALYSIS

NPI # 

Practice Address:

1100 W High St

Ebensburg, PA, 15931-1706

Practice Phone:

814-419-8107

Practice Fax:

814-419-8108

License Number:

MD042825E

License State:

PA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code:

261QE0700X