PONDEROSA PINE, LLC is an end-stage renal disease (esrd) treatment clinic center in Lone Tree, CO. PONDEROSA PINE, LLC NPI is 1407525447. The provider is registered as an organization entity type.
The provider's business location address is:
9777 S YOSEMITE ST STE 130AB&C
LONE TREE, CO
ZIP 80124-191
Phone: (720) 798-3714
Fax: (720) 798-3755
The provider's authorized official is Thomas L Weinberg .
The authorized official title is Chairman and has the following contact phone number (214) 736-2700.
The CLIA number assigned to this NPI record is 06D2237705 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/13/2021 and was last updated on 9/13/2021.