# CARDIOVASCULAR SPECIALISTS OF AMERICA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871190215
- **Authorized official:** LANCE SPENCER LONGMORE DO (OWNER)
- **Authorized official phone:** (208) 760-7707

## Contact information

- **Practice address:** 1515 E CLARK ST, POCATELLO, ID 83201-4133
- **Practice address phone:** (000) 000-0000
- **Mailing address:** 1515 E CLARK ST, POCATELLO, ID 83201-4133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | NULL | Yes |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/08/2020
- **Last updated:** 07/16/2026