Organization
AXIS SPINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH NWOSU MD (SPINE SURGEON)
(909) 659-1852
Entity
Organization
Contact information
Practice address
1519 3RD ST SE STE 101, PUYALLUP, WA 98372-3742
(909) 659-1852
Mailing address
1101 N 39TH CT, RENTON, WA 98056-1624
(909) 659-1852
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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