NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1245273382 | BRADLEY | WILLIAM | DANIEL |   | 215 E HAWAII AVE | NAMPA | ID | 836866011 |
1477958494 | KING | JENNIFER |   |   | 215 E HAWAII AVE | NAMPA | ID | 836866011 |
1013317296 | MOSS | ERIC | CHRISTOPHER |   | 215 E HAWAII AVE | NAMPA | ID | 836866011 |
1821538471 | PARKER | LAUREN |   |   | 215 E HAWAII AVE | NAMPA | ID | 836866011 |