Ryan Bradley Longmore, DO | |
777 Hospital Way # 101, Pocatello, ID 83201-5175 | |
(208) 234-2001 | |
(208) 232-2195 |
Full Name | Ryan Bradley Longmore |
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Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 777 Hospital Way # 101, 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 |
---|---|---|---|
1285884213 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2008024770 (Missouri) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | O-0884 (Idaho) | Primary |
Entity Name | Medical Imaging Associates Of Idaho Falls Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740225531 PECOS PAC ID: 7618876590 Enrollment ID: O20040108000883 |
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 |
Entity Name | Cardiovascular Specialists Of America Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871190215 PECOS PAC ID: 1557773934 Enrollment ID: O20201208002277 |
Mailing Address | Practice Location Address |
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Ryan Bradley Longmore, DO 777 Hospital Way # 101, Pocatello, ID 83201-5175 Ph: (208) 234-2001 | Ryan Bradley Longmore, DO 777 Hospital Way # 101, Pocatello, ID 83201-5175 Ph: (208) 234-2001 |
Shawn Allman, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1417 | |
Jacob Delarosa, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 651 Memorial Dr, Pocatello, ID 83201 Phone: 208-239-1000 | |
Dr. Jarrah Alfadhli, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way Ste 101, Pocatello, ID 83201 Phone: 208-239-3899 | |
Aditya Singh, Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 777 Hospital Way Ste 101, Pocatello, ID 83201 Phone: 208-239-3899 | |
Sherwin D'souza, M.D. Cardiovascular Disease 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. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 500 S 11th Ave, Suite 203, Pocatello, ID 83201 Phone: 208-232-5902 |