I Care Medical Clinic PA
NPI #1952654741 in Saint Anthony, Idaho
Provider Information
- NPI Number
- 1952654741
- Entity Type
- Organization
- Organization Name
- I Care Medical Clinic PA
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Oct 18, 2012
- Last Updated
- Apr 4, 2013
Practice Location
- Address
- 430 N BRIDGE ST
- City
- Saint Anthony
- State
- Idaho
- ZIP Code
- 83445-1425
- Phone
- (208) 624-4402
Authorized Official
- Name
- JENNIFER RICKELL WILLMORE, MPAS, PAC
- Title
- OWNER
- Phone
- (208) 624-4402
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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