NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1750644225 |   |   |   | ISU FAMILY MEDICINE | 465 MEMORIAL DR | POCATELLO | ID | 832014008 |
1265424105 | FORCE | REX | W |   | ISU BOX 8357 | POCATELLO | ID | 832090001 |
1841923414 | FOSTER | MADELINE | CLAIRE |   | 465 MEMORIAL DR | POCATELLO | ID | 832014008 |
1326335134 | JOHNSON | KOLBY | V |   | 465 MEMORIAL DR | POCATELLO | ID | 832014008 |
1720341209 | MAYO | TYLER | FORREST |   | 465 MEMORIAL DR | POCATELLO | ID | 832014008 |