Darryl Bruce Cook, MD | |
1151 Hospital Way Bldg A, Pocatello, ID 83201-2763 | |
(208) 232-6616 | |
(208) 232-6618 |
Full Name | Darryl Bruce Cook |
---|---|
Gender | Male |
Speciality | Internal Medicine - Gastroenterology |
Location | 1151 Hospital Way Bldg A, Pocatello, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972525111 | NPI | - | NPPES |
002802900 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | M4758 (Idaho) | Primary |
Entity Name | Pocatello Health Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689802852 PECOS PAC ID: 6608927637 Enrollment ID: O20090701000646 |
Mailing Address | Practice Location Address |
---|---|
Darryl Bruce Cook, MD Po Box 4788, Pocatello, ID 83205-4788 Ph: (208) 232-6616 | Darryl Bruce Cook, MD 1151 Hospital Way Bldg A, Pocatello, ID 83201-2763 Ph: (208) 232-6616 |
Shawn Allman, D.O. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1417 | |
Jacob Delarosa, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 651 Memorial Dr, Pocatello, ID 83201 Phone: 208-239-1000 | |
Dr. Jarrah Alfadhli, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way Ste 101, Pocatello, ID 83201 Phone: 208-239-3899 | |
Aditya Singh, Gastroenterology Medicare: Medicare Enrolled Practice Location: 777 Hospital Way Ste 101, Pocatello, ID 83201 Phone: 208-239-3899 | |
Sherwin D'souza, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2302 E. Terry Street, Pocatello, ID 83201 Phone: 208-235-5910 Fax: 208-235-5920 | |
Linda L. Babbitt, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 500 S 11th Ave, Suite 203, Pocatello, ID 83201 Phone: 208-232-5902 | |
Ryan Bradley Longmore, D.O. Gastroenterology Medicare: Medicare Enrolled Practice Location: 777 Hospital Way # 101, Pocatello, ID 83201 Phone: 208-234-2001 Fax: 208-232-2195 |