Community Care, Pllc
NPI #1003088782 in Pocatello, Idaho
Provider Information
- NPI Number
- 1003088782
- Entity Type
- Organization
- Organization Name
- Community Care, Pllc
- Primary Specialty
- Family Medicine
- Enumeration Date
- Apr 2, 2008
- Last Updated
- Aug 12, 2010
Practice Location
Authorized Official
- Name
- RYAN L PETERSON
- Title
- CEO
- Phone
- (208) 525-8448
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Family Medicine |
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