NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1386677524 |   |   |   | ST ALPHONSUS PROFESSIONAL MEDICAL SERVICES LLC | PO BOX 9589 | BOISE | ID | 837074589 |
1104867662 | CHAFFIN | JACK | C |   | PO BOX 9589 | BOISE | ID | 837074589 |
1396785531 | KIM | EDWARD | J |   | PO BOX 9589 | BOISE | ID | 837074589 |
1679769350 | KOENEN | CARL | T |   | PO BOX 9589 | BOISE | ID | 837074589 |
1356397491 | KOIS | NANCY | C |   | PO BOX 9589 | BOISE | ID | 837074589 |