Dr Bryan Kantner, DO | |
9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | |
(253) 968-1511 | |
Not Available |
Full Name | Dr Bryan Kantner |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1831515832 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 1451 (Nebraska) | Primary |
Entity Name | Symphony Diagnostic Services No 1 Llc |
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Entity Type | Part B Supplier - Portable X-ray Supplier |
Entity Identifiers | NPI Number: 1700865094 PECOS PAC ID: 5193638765 Enrollment ID: O20060913000187 |
Entity Name | Reono Bertagnolli A Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134424005 PECOS PAC ID: 6800709783 Enrollment ID: O20140502001387 |
Entity Name | Community Mobile Diagnostics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023104007 PECOS PAC ID: 4789610643 Enrollment ID: O20161004002024 |
Entity Name | Community Mobile Ultrasound Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760620959 PECOS PAC ID: 4183761893 Enrollment ID: O20170407000173 |
Entity Name | American Diagnostics Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639140387 PECOS PAC ID: 1355241274 Enrollment ID: O20170519002150 |
Mailing Address | Practice Location Address |
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Dr Bryan Kantner, DO 650 Huebner Rd, Fort Riley, KS 66442-4030 Ph: () - | Dr Bryan Kantner, DO 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 Ph: (253) 968-1511 |
Dr. Yolanda Maria Miroballi Mendoza, MD Radiology Medicare: Medicare Enrolled Practice Location: 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-4184 | |
Dr. Thor Farnsworth, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-1110 | |
Dr. Dusten Malcolm Macdonald, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: Madigan Army Medical Ctr, 9040 Fitzsimmons Drive, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-2133 | |
Patrick Miles Chesley, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-0236 |