Organization
COMMUNITY CARE POCATELLO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK CAMPBELL D.O. (MEMBER)
(208) 233-0032
Entity
Organization
Contact information
Practice address
1595 YELLOWSTONE AVE, POCATELLO, ID 83201-4203
(208) 233-0032
(208) 237-9171
Mailing address
1595 YELLOWSTONE AVE, POCATELLO, ID 83201-4203
(208) 233-0032
(208) 237-9171
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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