Cardiovascular Specialists of America, LLC

NPI #1871190215 in Pocatello, Idaho

Provider Information

NPI Number: 1871190215
Entity Type: Organization
Organization Name: Cardiovascular Specialists of America, LLC
Primary Specialty: Internal Medicine - Clinical Cardiac Electrophysiology
Enumeration Date: Oct 8, 2020
Last Updated: Oct 8, 2020

Practice Location

Address: 1515 E CLARK ST
City: Pocatello
State: Idaho
ZIP Code: 83201-4133
Phone: (000) 000-0000

Authorized Official

Name: LANCE SPENCER LONGMORE, DO
Title: OWNER
Phone: (208) 760-7707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Clinical Cardiac Electrophysiology — Clinical Cardiac Electrophysiology	207RC0001X	Primary

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