NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1144267022 |   |   |   | BLUE LAKES GASTROENTEROLOGY, PLLC | 775 POLE LINE RD W | TWIN FALLS | ID | 833015814 |
1821299553 |   |   |   | BLUE LAKES GASTROENTEROLOGY PLLC | 775 POLE LINE RD W | TWIN FALLS | ID | 833015814 |
1376084673 | AHLQUIST | MARCI |   |   | 775 POLE LINE ROAD WEST | TWIN FALLS | ID | 83301 |
1790227783 | USMANOVA | MURVAT |   |   | 775 POLE LINE RD W | TWIN FALLS | ID | 833015814 |