Individual
CLARICE MONTECALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
777 HOSPITAL WAY, POCATELLO, ID 83201-5175
(208) 239-2481
(208) 239-3691
Mailing address
P.O. BOX 4168, POCATELLA, ID 83205-4168
(208) 239-1035
(208) 239-3626
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7371563
ID
207Q00000X
Family Medicine Physician
C3972
KY
Other
Enumeration date
05/09/2018
Last updated
08/27/2025
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