| NPI Details | |
|---|---|
| NPI | 1063648590 |
| Gender | Female |
| Enumeration Date | 06/10/2009 |
| Last Updated | 07/20/2012 |
| Entity Type | Individual |
| Active | Over 8 years ago |
| Practice Location | |
|---|---|
| 55 W TIETAN ST WALLA WALLA WA, 99362-4445, US |
|
| Phone | (509) 525-3720 |
| Fax | |
| Business Location | |
|---|---|
| 80 BUTTONQUAIL LN WALLA WALLA WA, 99362-7708, US |
|
| Phone | (415) 290-6446 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 208600000X |
| License State | Washington |
| License Number | MD60286049 |
| Remove 1063648590 NPI Number | |
According to our database, Xondra Alexis Driggs M.D. NPI is 1063648590, taxonomy code is 208600000X and license number is MD60286049, license state is located at Washington. Xondra Alexis Driggs M.D. physically located at 55 W Tietan St, Walla Walla WA, 99362-4445. NPI Number Xondra Alexis Driggs M.D. has the Individual type.
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1063648590 NPI number is provided on an as is basis without warranty of any kind. 1063648590 is maintained by the National Plan & Provider Enumeration System. The contents of Xondra Alexis Driggs M.D. are for informational purposes only.
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