Organization
AXIS NEPHROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID W DEMPSTER (CREDENTIALING- BILLING SPECIALIST)
(253) 272-5881
Entity
Organization
Contact information
Practice address
1708 S YAKIMA AVE, SUITE 107, TACOMA, WA 98405
(253) 272-5881
(253) 383-0161
Mailing address
1708 S YAKIMA AVE, SUITE 107, TACOMA, WA 98405
(253) 272-5881
(253) 383-0161
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD00040610
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7128556
—
WA
Enumeration date
06/12/2006
Last updated
06/16/2008
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