NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1053352427 |   |   |   | EASTERN IDAHO REG MED CTR PS, LLC | 3100 CHANNING WAY | IDAHO FALLS | ID | 834047533 |
1972166684 | MORKEMO | JENNIFER | ALYSSE |   | 3100 CHANNING WAY | IDAHO FALLS | ID | 834047533 |