Organization
FJW INCORPORATED
Active
Other names
AXIS HEALTH OF NEVADA
Organization subpart
No
Provider details
NPI number
Authorized official
RITA KUHL (COO)
(702) 330-0530
Entity
Organization
Contact information
Practice address
2870 S MARYLAND PKWY STE 230S230, LAS VEGAS, NV 89109-5031
(702) 330-0530
(702) 476-9930
Mailing address
2870 S MARYLAND PKWY STE 230S230, LAS VEGAS, NV 89109-5031
(702) 330-0530
(702) 476-9930
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250016271
—
NV
Enumeration date
03/30/2023
Last updated
03/30/2023
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