Community Care, Pllc
NPI #1720312242 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1720312242
- Entity Type
- Organization
- Organization Name
- Community Care, Pllc
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Sep 30, 2009
- Last Updated
- Sep 30, 2009
Practice Location
- Address
- 2725 CHANNING WAY
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404
- Phone
- (208) 525-8448
Authorized Official
- Name
- BRITTANY RUSSELL
- Title
- ADMINISTRATOR
- Phone
- (208) 525-8448
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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