MEDICARE: KAREN ECKARDT NOYES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	WA60846809	WA
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207R00000X	Internal Medicine Physician	MD60846809	WA

General Provider Information

NPI Number	:	1700178290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN ECKARDT NOYES MD

Provider Business Mailing Address
First Line	:	PO BOX 3649
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99220-3649
Country	:	US
Telephone Number	:	509-838-2531
Fax Number	:	509-755-6580

Provider Business Practice Location Address
First Line	:	3016 E 57TH AVE STE 27
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99223-7036
Country	:	US
Telephone Number	:	509-342-3300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2011
Last Update Date	:	05/31/2023

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