NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1780032326 |   |   |   | IDAHO STATE UNIVERSITY DEPARTMENT OF FAMILY MEDICINE | 1000 N 8TH AVE | POCATELLO | ID | 832015757 |
1184917346 | BROWN | SHANNON | LAVON |   | PO BOX 2377 | POCATELLO | ID | 832062377 |
1033448873 | SEATON | LORI | K |   | PO BOX 2377 | POCATELLO | ID | 832062377 |