Basic Information
Provider Information
NPI: 1831483155
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NOYES
FirstName: ADAM
MiddleName: MACARTHUR
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2003 KOOTENAI HEALTH WAY
Address2:  
City: COEUR D ALENE
State: ID
PostalCode: 838146051
CountryCode: US
TelephoneNumber: 2086255085
FaxNumber: 2086255731
Practice Location
Address1: 122 W 7TH AVE STE 310
Address2:  
City: SPOKANE
State: WA
PostalCode: 99204
CountryCode: US
TelephoneNumber: 5098472500
FaxNumber: 5098472501
Other Information
ProviderEnumerationDate: 06/03/2011
LastUpdateDate: 06/07/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000XMD60837331WAY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


Home