COMMUNITY CARE PLLC

IDAHO FALLS, ID
NPI1205846425
Entity TypeOrganization
Authorized ContactRYAN PETERSON
Deo
208-525-8448
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2006-08-09
Last Update Date2020-08-22
Business Address
COMMUNITY CARE PLLC
1995 E 17TH ST
IDAHO FALLS, ID 83404-6493
Phone number: 208-529-5252
Mailing Address
COMMUNITY CARE PLLC
1995 E 17TH ST
IDAHO FALLS, ID 83404-6493
Phone number: 208-529-5252
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