PRODIGY DIALYSIS

NPI # 

Practice Address:

88 Osborne St

Johnstown, PA, 15905-4146

Practice Phone:

814-539-0798

Practice Fax:

814-536-4751

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