NPI 1003088782

Community Care, PLLC

Organisation Family Medicine Physician Pocatello, ID

Practice location

Address: 1595 Yellowstone Ave, Pocatello, ID 83201
Phone: (208) 233-0032

Authorised official

Name: Ryan L Peterson
Title: Ceo
Phone: (208) 525-8448

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Idaho →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Other Physician Assistant providers in Idaho →

Registry record

NPI: 1003088782
Entity type: Organization
NPI issued: 2 Apr 2008
Record last updated: 12 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.