NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1639713589 |   |   |   | STERLING PROVIDER GROUP | 740 S WOODRUFF AVE | IDAHO FALLS | ID | 834015285 |
1134567282 | MORRISON | TOD | MICHAEL |   | 740 S WOODRUFF AVE | IDAHO FALLS | ID | 834015285 |
1487269080 | WRIGHT | SEAN | NICHOLAS |   | 740 S WOODRUFF AVE | IDAHO FALLS | ID | 834015285 |