ProviderBusinessMailingAddressFaxNumber = '2082322408'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1013282169 | BLACK | CHRISTINE | E | | 500 S 11TH AVE STE 400 | POCATELLO | ID | 832014880 |
| 1811369689 | BRUMFIELD | JENNIE | | | 500 S 11TH AVE | POCATELLO | ID | 832014835 |
| 1770150625 | HAUSER | EMILY | | | 500 S 11TH AVE STE 400 | POCATELLO | ID | 832014880 |
| 1447316799 | KOSTUR | GREGORY | DANIEL | | 500 S 11TH AVE STE 400 | POCATELLO | ID | 832014880 |
| 1144646613 | PHIPPEN | COLTON | | | 500 S 11TH AVE STE 400 | POCATELLO | ID | 832014880 |
| 1992027825 | PIVA | GINO | J | | 500 S 11TH AVE STE 400 | POCATELLO | ID | 832014880 |
| 1386077204 | SCHAAT | ERIC | M | | 500 S 11TH AVE STE 400 | POCATELLO | ID | 832014880 |
| 1235689902 | SMITH | KATHLEEN | RENE | | 500 S 11TH AVE STE 400 | POCATELLO | ID | 832014880 |
| 1437266251 | WATT | BARBARA | JOYCE | | 500 S 11TH AVE STE 400 | POCATELLO | ID | 832014880 |
| 1366750929 | WESTERHAUS | KENDRA | J | | 500 S 11TH AVE STE 400 | POCATELLO | ID | 832014880 |
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