Ezra Ralph Bobo (NPI# 1710229315, PAC ID# 5193054013) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1710229315 |
| PAC ID by PECOS | 5193054013 |
| Professional Enrollment ID | I20190831000031 |
| Full Name | Ezra Ralph Bobo |
| Organization Legal Name | RADIOLOGY ASSOCIATES OF ALBUQUERQUE PA |
| Address |
1499 Blake St Apt 6j Denver CO 80202-1359 |
| Phone Number | 8008414236 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2860304482 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 320021 | PRESBYTERIAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109-5888 | 5053325827 | RADIOLOGY ASSOCIATES OF ALBUQUERQUE PA |
| 1499 Blake St, Apt 6j, Denver, CO 80202-1359 | 8008414236 | RADIOLOGY ASSOCIATES OF ALBUQUERQUE PA |
| 1499 Blake St, Apt 6j, Denver, CO 80202-1359 | ADVANCED IMAGING LLC | |
| 2400 Unser Blvd Se, 28200 High Resolution Rio Rancho At Rust, Rio Rancho, NM 87124-4741 | 5059987719 | ADVANCED IMAGING LLC |
| Organization Legal Name | RADIOLOGY ASSOCIATES OF ALBUQUERQUE PA |
| Physicians | 38 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luis V Centenera | Diagnostic Radiology | Radiology Associates of Albuquerque Pa | 4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109-5888 |
| Jeremy J Logan | Diagnostic Radiology | Radiology Associates of Albuquerque Pa | 4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109-5888 |
| Adam N Delu | Diagnostic Radiology | Radiology Associates of Albuquerque Pa | 4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109-5888 |
| Christopher Scott Bettis | Physician Assistant | Radiology Associates of Albuquerque Pa | 4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109-5888 |
| Samuel Southam | Diagnostic Radiology | Radiology Associates of Albuquerque Pa | 4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109-5888 |
| Roberto Perez-gautrin | Diagnostic Radiology | Radiology Associates of Albuquerque Pa | 4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109-5888 |
| Juan Carlos Mena | Diagnostic Radiology | Radiology Associates of Albuquerque Pa | 4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109-5888 |
| Kathleen M Lopez | Diagnostic Radiology | Radiology Associates of Albuquerque Pa | 4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109-5888 |
| Renee J Butler Lewis | Diagnostic Radiology | Radiology Associates of Albuquerque Pa | 4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109-5888 |
| Daniel A Fuentes-bernardo | Interventional Radiology | Radiology Associates of Albuquerque Pa | 4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109-5888 |
| Street Address |
1499 BLAKE ST APT 6J |
| City | DENVER |
| State | CO |
| Zip | 80202-1359 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin Stephen Rowley | Physical Therapy | 1850 Bassett St, Apt 603, Denver, CO 80202-1060 | |
| Breana L Koffler | Physical Therapy | Lodo Physical Therapy Pllc | 1401 17th St, Suite 475, Denver, CO 80202-1268 |
| Phillip J Wehrman | Physical Therapy | Lodo Physical Therapy Pllc | 1401 17th St, Suite 475, Denver, CO 80202-1268 |
| Laura D Lund | Physical Therapy | Lodo Physical Therapy Pllc | 1401 17th St, Suite 475, Denver, CO 80202-1268 |
| Philip Koffler | Physical Therapy | Lodo Physical Therapy Pllc | 1401 17th St, Suite 475, Denver, CO 80202-1268 |
| David J Vanas | Physical Therapy | Lodo Physical Therapy Pllc | 1401 17th St, Suite 475, Denver, CO 80202-1268 |
| Valerie M Skvarca | Physician Assistant | American Current Care Pa | 1730 Blake St, Suite 100, Denver, CO 80202-1274 |
| Nickolas J Curcija | Physician Assistant | American Current Care Pa | 1730 Blake St, Suite 100, Denver, CO 80202-1274 |
| Gary Scofield | Physician Assistant | American Current Care Pa | 1730 Blake St, Suite 100, Denver, CO 80202-1274 |
| Mendy M Peterson | Physician Assistant | American Current Care Pa | 1730 Blake St, Suite 100, Denver, CO 80202-1274 |
| Find all physicians in zip 80202 | |||
| City | DENVER |
| Zip Code | 80202 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | DENVER + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Ezra Ralph Bobo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.