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NPI Code Detail

MEDICARE: ROBERTA L KNORR MD

MEDICARE: ROBERTA L KNORR 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
1208000000XPediatrics PhysicianMD00026592WA

General Provider Information

NPI Number : 1720047624
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERTA L KNORR MD
Provider Business Mailing Address
First Line : 611 N IRON BRIDGE WAY
Second Line :
City : SPOKANE
State : WA
Zip : 99202-4932
Country : US
Telephone Number : 509-444-8888
Fax Number : 509-444-7806
Provider Business Practice Location Address
First Line : 15812 E INDIANA AVE
Second Line :
City : SPOKANE VALLEY
State : WA
Zip : 99216-1875
Country : US
Telephone Number : 509-444-8200
Fax Number : 509-444-8206
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2006
Last Update Date : 12/02/2021

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Directions to “ ROBERTA L KNORR MD” Practice Location

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