Individual
DR. BRETT ECKENROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
551 E HAWTHORNE RD, SPOKANE, WA 99218-1417
(509) 489-2369
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 489-2369
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD60301737
WA
207Q00000X
Family Medicine Physician
Primary
MD60301737
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RES00
RES00
—
Enumeration date
06/25/2010
Last updated
05/18/2021
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