Dr Gregory Daniel Kostur, MD | |
500 S 11th Ave Ste 204, Pocatello, ID 83201-4878 | |
(208) 232-3355 | |
(855) 230-7350 |
Full Name | Dr Gregory Daniel Kostur |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 500 S 11th Ave Ste 204, 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 |
---|---|---|---|
1447316799 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | N3122 (Texas) | Secondary |
208000000X | Pediatrics | M-14706 (Idaho) | Primary |
Entity Name | Health West Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033595541 PECOS PAC ID: 4981500931 Enrollment ID: O20031210000461 |
Mailing Address | Practice Location Address |
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Dr Gregory Daniel Kostur, MD 500 S 11th Ave Ste 400, Pocatello, ID 83201-4880 Ph: (208) 232-7862 | Dr Gregory Daniel Kostur, MD 500 S 11th Ave Ste 204, Pocatello, ID 83201-4878 Ph: (208) 232-3355 |
Dr. Don E Mcinturff, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1151 Hospital Way, Building F, Pocatello, ID 83201 Phone: 208-232-1443 Fax: 208-239-3434 | |
Christian Carter Yost, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 950 Hospital Way Ste A, Pocatello, ID 83201 Phone: 208-233-7337 Fax: 208-235-1839 | |
Dr. Roger W. Boe, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 405 W Whitman St, Pocatello, ID 83204 Phone: 208-233-6833 | |
Alison Marie Mcinturff, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1151 Hospital Way Bldg F, Pocatello, ID 83201 Phone: 208-232-1443 | |
Andrea Lewis Swenson, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1110 Call Creek Dr Ste 7, Pocatello, ID 83201 Phone: 208-233-4660 Fax: 208-233-4262 | |
Dr. Matthew Ayers Murdoch, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1151 Hospital Way, Building F, Pocatello, ID 83201 Phone: 208-232-1443 Fax: 208-239-3434 |