NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1295771129 |   |   |   | SOUTHERN IDAHO RADIOLOGY PA | PO BOX 9649 | BOISE | ID | 837074649 |
1336111269 | ALDER | DANIEL | CONSTANTINE |   | PO BOX 9649 | BOISE | ID | 837074649 |
1902842271 | BUCCAMBUSO | TERRY | J |   | PO BOX 9649 | BOISE | ID | 837074649 |
1255361150 | HOLZER | MICHAEL | E |   | PO BOX 9649 | BOISE | ID | 837074649 |
1447284591 | THOMAS | EVAN | D |   | PO BOX 9649 | BOISE | ID | 837074649 |
1982638037 | WASSERSTROM | ROBERT |   |   | PO BOX 9649 | BOISE | ID | 837074649 |