Dr JONATHAN BARRUS is a male medical professional, specializing in Family Medicine. He graduated in 2014.
BLACK CANYON MEDICAL GROUP PLLC
426 HWY 16
EMMETT
ID
836179461
Tel: 2083652735
| Npi | 1346654589 |
| Pac Id | 8628295839 |
| Professional Enrollment Id | I20160906002281 |
| Last Name | BARRUS |
| First Name | JONATHAN |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2014 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | BLACK CANYON MEDICAL GROUP PLLC |
| Group Practice Pac Id | 8123393071 |
| Number Of Group Practice Members | 2 |
| Line 1 Street Address | 426 HWY 16 |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | EMMETT |
| State | ID |
| Zip Code | 836179461 |
| Phone Number | 2083652735 |
| Hospital Affiliation Ccn 1 | 380052 |
| Hospital Affiliation Lbn 1 | SAINT ALPHONSUS MEDICAL CENTER - ONTARIO, INC |
| Hospital Affiliation Ccn 2 | 130006 |
| Hospital Affiliation Lbn 2 | ST LUKE'S REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 131318 |
| Hospital Affiliation Lbn 3 | VALOR HEALTH |
| Hospital Affiliation Ccn 4 | 130007 |
| Hospital Affiliation Lbn 4 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 5 | 131307 |
| Hospital Affiliation Lbn 5 | WEISER MEMORIAL HOSPITAL |
| Professional Accepts Medicare Assignment | Y |
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