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 |
1194042713 | BIRCH | BRIAN | C |   | 190 E BANNOCK ST | BOISE | ID | 837126241 |
1447295480 | HARRIS | KENNETH | E |   | PO BOX 587 | TWIN FALLS | ID | 833030587 |
1568406692 | JONES | GREGORY | P |   | PO BOX 587 | TWIN FALLS | ID | 833030587 |
1316268295 | MASON | BRYAN | C. |   | PO BOX 587 | TWIN FALLS | ID | 833030587 |
1093895229 | MOFFITT | MITCHELL | JACKSON |   | PO BOX 587 | TWIN FALLS | ID | 833030587 |
1366836843 | MONSON | ANDREW | NOLAN |   | 775 POLE LINE RD W STE 111 | TWIN FALLS | ID | 833015819 |
1215971593 | PREUCIL | DANIEL | G |   | PO BOX 587 | TWIN FALLS | ID | 833030587 |
1649216961 | SANDISON | RICHARD | A |   | PO BOX 587 | TWIN FALLS | ID | 833030587 |
1619169299 | SATTERFIELD | TREVOR | Y |   | PO BOX 587 | TWIN FALLS | ID | 833030587 |
1649213729 | TROTTER | JOHN | F |   | PO BOX 587 | TWIN FALLS | ID | 833030587 |