24 Community Care Pllc

NPI #1740677871 in Ammon, Idaho

Provider Information

NPI Number
1740677871
Entity Type
Organization
Organization Name
24 Community Care Pllc
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Apr 15, 2015
Last Updated
Apr 15, 2015

Practice Location

Address
3544 E 17TH ST
Address 2
SUITE 201
City
Ammon
State
Idaho
ZIP Code
83406-6911
Phone
(208) 524-0685

Authorized Official

Name
COLBY COOMBS
Title
OWNER
Phone
(208) 524-0685

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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