NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1114923471 |   |   |   | SURGICARE CENTER OF IDAHO, LLC | 360 E MALLARD DR | BOISE | ID | 837066644 |
1780726455 |   |   |   | LASERCARE CENTER OF IDAHO | 360 E MALLARD DR STE 110 | BOISE | ID | 837063945 |
1871643585 |   |   |   | HOLLINGSHEAD EYE CENTER, PC | 360 E MALLARD DR | BOISE | ID | 837066644 |
1982994844 | BARRETT | RYAN | THOMAS |   | 360 E MALLARD DR | BOISE | ID | 837063945 |
1164871489 | BLAYLOCK | KACEY | DUSTIN |   | 360 E MALLARD DR STE 110 | BOISE | ID | 837063945 |
1326095233 | CAMPBELL | CHRISTI | ALISE |   | 9436 W MOSSY CUP ST | BOISE | ID | 837093537 |
1972813855 | HATFIELD | DYLAN | L |   | 360 E. MALLARD DR. STE 110 | BOISE | ID | 837063945 |
1689670911 | HOLLINGSHEAD | MARK | E |   | 360 E MALLARD DR | BOISE | ID | 837063945 |
1629509682 | WOOLF | SCOTT |   |   | 360 E MALLARD DR STE 110 | BOISE | ID | 837063945 |