Organization
NORTHWEST SPINE SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI JOHNSON (CLINIC MANAGER)
(509) 834-7050
Entity
Organization
Contact information
Practice address
1110 N. 35TH AVE, YAKIMA, WA 98902-1622
(509) 834-7050
(509) 834-7051
Mailing address
1110 N. 35TH AVE, YAKIMA, WA 98902-1622
(509) 834-7050
(509) 834-7051
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
603404908
WA
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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