| Edward Desano, MD | |
|
465 Memorial Dr, Pocatello, ID 83201-4008 | |
| (208) 282-4700 | |
| (208) 282-4696 |
| Full Name | Edward Desano |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 465 Memorial Dr, Pocatello, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831248962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M3307 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Desano, MD 651 Memorial Dr, Pocatello, ID 83201-4071 Ph: (208) 239-2110 | Edward Desano, MD 465 Memorial Dr, Pocatello, ID 83201-4008 Ph: (208) 282-4700 |
Shayna Larae Harding, APRN Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1133 Call Creek Dr # A, Pocatello, ID 83201 Phone: 208-232-1000 Fax: 208-232-1006 | |
Cody E Patterson, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 151 N 4th Ave, Pocatello, ID 83201 Phone: 208-269-7147 Fax: 208-416-6522 | |
Dr. Bradley Yamashita Beaufort, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 465 Memorial Dr, Pocatello, ID 83201 Phone: 208-282-4700 Fax: 208-282-4696 | |
Ryan Hudgens, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 465 Memorial Dr, Pocatello, ID 83201 Phone: 208-232-7862 | |
Shaylor Bringhurst, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 465 Memorial Dr, Pocatello, ID 83201 Phone: 208-232-7862 | |
Dr. Sharla Clark, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1951 Bench Road, Suite B, Pocatello, ID 83201 Phone: 208-238-1000 Fax: 208-238-0009 | |
Joseph Alfred Enfonde, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 465 Memorial Dr, Pocatello, ID 83201 Phone: 208-282-3264 |