NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1013957471 |   |   |   | ST LUKES REGIONAL MEDICAL CENTER | PO BOX 550 | BOISE | ID | 837010550 |
1184332421 | ALLEN | JESSICA | MOORE |   | 190 E BANNOCK ST | BOISE | ID | 837126241 |
1205884616 | HOLBROOK | MARK | L |   | 190 E BANNOCK ST | BOISE | ID | 837126241 |
1982698502 | KOHLER | GRETCHEN | L |   | 190 E BANNOCK ST | BOISE | ID | 837126241 |
1811372881 | KRAWTZ | KELLY |   |   | 4840 N CLOVERDALE RD | BOISE | ID | 837132423 |
1821048364 | NIELSEN | DAVID | C |   | 190 E BANNOCK ST | BOISE | ID | 837126241 |
1194773598 | TANABE | KIMBERLY | R |   | 190 E BANNOCK ST | BOISE | ID | 837126241 |