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High Desert Renal PC — NPI 1649089814, Provo, UT | NPI Central

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NPI 1649089814

OrganizationActive

High Desert Renal PC

NPI 1649089814 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Provo, UT

Provider details

NPI number: 1649089814
Entity type: Organization
Primary specialty: End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Pace Romney, Owner(208) 705-3002

Specialties & taxonomies

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterPrimary261QE0700X
Ambulatory Health Care Facilities

Practice location

1675 N Freedom Blvd Ste 15

Provo, UT 84604-6909

Phone: (855) 759-7365

Approximate (ZIP-level) locationGet directions

More UT providers

Mailing address

1751 E Auburn Ridge Ln

Draper, UT 84020-5514

Additional practice locations (2)

1159 E 200 N Ste 150
American Fork, UT 84003-2052
Phone: (888) 893-7783
15 S 1000 E Ste 50
Payson, UT 84651-5591
Phone: (888) 883-6407

Registry dates

Enumerated: 2025-01-02
Last updated: 2025-01-02
Certified: 2025-01-02

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.