NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1881224327 |   |   |   | ST LUKES MAGIC VALLEY REGIONAL MEDICAL CENTER LTD | PO BOX 2777 | BOISE | ID | 837012777 |
1063834224 | BINGHAM | JERRI | L |   | 190 E BANNOCK ST | BOISE | ID | 837126241 |
1134645013 | CHATTERTON | JEREMY | DANIEL |   | 801 POLE LINE RD W | TWIN FALLS | ID | 833015810 |
1952837718 | CRANE | KRISTOPHER | KENNON |   | 801 POLE LINE RD W | TWIN FALLS | ID | 833015810 |
1508440421 | FOWLER | BRANDON |   |   | 775 POLE LINE RD W STE 307 | TWIN FALLS | ID | 833015823 |
1194273557 | GRABER | MELANIE | SUZANNE |   | 801 POLE LINE RD W STE 202 | TWIN FALLS | ID | 833015810 |
1780150979 | HARCOURT | MICHELLE |   |   | 228 SHOUP AVE W | TWIN FALLS | ID | 833015022 |
1073907556 | HINCKLEY | PETER |   |   | 801 POLE LINE RD W | TWIN FALLS | ID | 833015810 |
1598315079 | OSTLUND | BREANN |   |   | 801 POLE LINE RD W | TWIN FALLS | ID | 833015810 |
1780035642 | WAGNER | DANIELLE | MARIE |   | 801 POLE LINE RD W | TWIN FALLS | ID | 833015810 |
1871881375 | WALTON | GREGORY | DEAN |   | 801 POLE LINE ROAD WEST | TWIN FALLS | ID | 833015799 |
1639787054 | WOODMAN | RITA | MARIE |   | 775 POLE LINE RD W STE 212 | TWIN FALLS | ID | 833015820 |