NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1245414028 |   |   |   | PHYSICIAN CENTER A PROFESSIONAL COMPANY MID LEVEL | 775 POLE LINE RD W | TWIN FALLS | ID | 833015814 |
1508807926 |   |   |   | PHYSICIAN CENTER , A PROFESSIONAL COMPANY | 775 POLE LINE RD W | TWIN FALLS | ID | 833015814 |
1982269973 | CONNER | PATRICIA |   |   | 775 POLE LINE RD W STE 105&111 | TWIN FALLS | ID | 833015814 |
1053801456 | GORRINGE | STEPHANIE | RANDS |   | 775 POLE LINE RD W STE 105 | TWIN FALLS | ID | 833015819 |
1609320126 | MITCHELL | JORDAN | MARIE |   | 529 BROADWAY AVE S | BUHL | ID | 833161312 |
1366836843 | MONSON | ANDREW | NOLAN |   | 775 POLE LINE RD W STE 111 | TWIN FALLS | ID | 833015819 |