CC POCATELLO LLC
Organization (NPI-2)
Active
Family Medicine
Provider Information
- NPI Number
1538517156- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1595 YELLOWSTONE AVE, POCATELLO, ID, 832014203
- Phone
- (208) 233-0032
Specialties & Taxonomies
Family Medicine
Primary