Community Care Pocatello Pllc

NPI #1265714760 in Pocatello, Idaho

Provider Information

NPI Number
1265714760
Entity Type
Organization
Organization Name
Community Care Pocatello Pllc
Primary Specialty
Clinic/Center - Urgent Care
Enumeration Date
Sep 12, 2011
Last Updated
Sep 12, 2011

Practice Location

Address
1595 YELLOWSTONE AVE
State
Idaho
ZIP Code
83201-4203
Phone
(208) 233-0032

Authorized Official

Name
DEREK CAMPBELL, D.O.
Title
MEMBER
Phone
(208) 233-0032

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Urgent CareUrgent Care

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