NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1124355813 |   |   |   | PHS MD #1, LLC | PO BOX 4168 | POCATELLO | ID | 832054168 |
1689802852 |   |   |   | POCATELLO HEALTH SERVICES, LLC | 651 MEMORIAL DR | POCATELLO | ID | 832014071 |
1760610935 |   |   |   | POCATELLO HOSPITAL LLC | 651 MEMORIAL DR | POCATELLO | ID | 832014071 |
1760719454 |   |   |   | PHS MD #2, LLC | PO BOX 4168 | POCATELLO | ID | 832054168 |
1992032098 |   |   |   | PHS MD #1, LLC | PO BOX 4728 | POCATELLO | ID | 832054728 |
1831248962 | DESANO | EDWARD |   |   | 651 MEMORIAL DR | POCATELLO | ID | 832014071 |
1295974368 | HOGAN | WILLIAM | E |   | 651 MEMORIAL DR | POCATELLO | ID | 832014071 |
1972621340 | MILDER | CAROL |   |   | 651 MEMORIAL DR | POCATELLO | ID | 832014071 |
1528228806 | PROCTOR | STEVEN | D |   | 651 MEMORIAL DR | POCATELLO | ID | 832014071 |
1932369568 | WEINHOLD | ANA | JOY |   | 651 MEMORIAL DR | POCATELLO | ID | 832014071 |
1760531859 | WOODHOUSE | WILLIAM |   |   | 651 MEMORIAL DR | POCATELLO | ID | 832014071 |