RYAN BRADLEY LONGMORE D.O.
Individual Provider (NPI-1)
Active
Internal Medicine, Cardiovascular Disease
Provider Information
- NPI Number
1285884213- Provider Type
- Individual Provider (NPI-1)
- Credentials
- D.O.
- Status
- Active
Contact & Location
- Address
- 777 HOSPITAL WAY # 101, POCATELLO, ID, 832015175
- Phone
- (208) 234-2001
- Fax
- (208) 232-2195
Specialties & Taxonomies
Internal Medicine
License: MO #2008024770
Internal Medicine, Cardiovascular Disease
Primary License: ID #O-0884