NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1700053774 |   |   |   | ST BENEDICTS FMC PHYSICIAN ASSISTANTS | 709 N LINCOLN AVE | JEROME | ID | 833381851 |
1912137175 | DICKINSON | PAUL | A |   | 709 N LINCOLN AVE | JEROME | ID | 833381851 |
1083833933 | ZEPEDA | THOMAS | HENRY |   | 709 N LINCOLN AVE | JEROME | ID | 833381851 |