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Healthcare Provider Digital Endpoint (NPI : 1073622031)

Healthcare Provider Digital Endpoint

NPI (National Provider Identifier) 1073622031
Endpoint Type DIRECT (Direct Messaging Address)
Endpoint tball669405@wm.providencedirect.org
Endpoint Description
Endpoint Affiliation N (No, Endpoint is not affiliated with an NPI or EIN)

Endpoint Affiliation Information

Affiliation Legal Business Name
Affiliation Legal Business Address 16528 E Desmet Ct Ste B3200
Spokane Valley WA
99216-3522
US

Healthcare Provider Digital Endpoint Use

Use Code DIRECT
Use Description Direct
Other Use Description

Healthcare Provider Digital Endpoint Content

Content Type
Content Description
Other Content Description

Healthcare Provider Digital Endpoint

NPI (National Provider Identifier) 1073622031
Endpoint Type DIRECT (Direct Messaging Address)
Endpoint tball669405@wm.providencedirect.org
Endpoint Description
Endpoint Affiliation N (No, Endpoint is not affiliated with an NPI or EIN)

Endpoint Affiliation Information

Affiliation Legal Business Name
Affiliation Legal Business Address 143 GARDEN HOLMES DR
COLVILLE WA
99114
US

Healthcare Provider Digital Endpoint Use

Use Code DIRECT
Use Description Direct
Other Use Description

Healthcare Provider Digital Endpoint Content

Content Type
Content Description
Other Content Description

Healthcare Provider Digital Endpoint

NPI (National Provider Identifier) 1073622031
Endpoint Type DIRECT (Direct Messaging Address)
Endpoint tball669405@wm.providencedirect.org
Endpoint Description
Endpoint Affiliation N (No, Endpoint is not affiliated with an NPI or EIN)

Endpoint Affiliation Information

Affiliation Legal Business Name
Affiliation Legal Business Address 5633 N Lidgerwood St
Spokane WA
99208-1224
US

Healthcare Provider Digital Endpoint Use

Use Code DIRECT
Use Description Direct
Other Use Description

Healthcare Provider Digital Endpoint Content

Content Type
Content Description
Other Content Description

Healthcare Provider Digital Endpoint

NPI (National Provider Identifier) 1073622031
Endpoint Type DIRECT (Direct Messaging Address)
Endpoint tball669405@wm.providencedirect.org
Endpoint Description
Endpoint Affiliation N (No, Endpoint is not affiliated with an NPI or EIN)

Endpoint Affiliation Information

Affiliation Legal Business Name
Affiliation Legal Business Address 62 W 7th Ave Ste 450
Spokane WA
99204-2321
US

Healthcare Provider Digital Endpoint Use

Use Code DIRECT
Use Description Direct
Other Use Description

Healthcare Provider Digital Endpoint Content

Content Type
Content Description
Other Content Description

Healthcare Provider Digital Endpoint

NPI (National Provider Identifier) 1073622031
Endpoint Type DIRECT (Direct Messaging Address)
Endpoint tball669405@wm.providencedirect.org
Endpoint Description
Endpoint Affiliation N (No, Endpoint is not affiliated with an NPI or EIN)

Endpoint Affiliation Information

Affiliation Legal Business Name
Affiliation Legal Business Address 62 W 7th Ave Ste 232
Spokane WA
99204-2321
US

Healthcare Provider Digital Endpoint Use

Use Code DIRECT
Use Description Direct
Other Use Description

Healthcare Provider Digital Endpoint Content

Content Type
Content Description
Other Content Description

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