NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1295754265 |   |   |   | SOUTHEAST IDAHO GASTROENTEROLOGY,PLLC | PO BOX 4788 | POCATELLO | ID | 832054788 |
1770502767 |   |   |   | ENDOSCOPY CENTER, LLC | PO BOX 4788 | POCATELLO | ID | 832054788 |
1780867457 |   |   |   | SOUTHEAST IDAHO GASTROENTEROLOGY, PLLC | 1151 HOSPITAL WAY STE A | POCATELLO | ID | 832015091 |
1871016071 |   |   |   | PORTNEUF ASC, LLC | 1 BURTON HILLS BLVD STE 250 | NASHVILLE | TN | 372156195 |
1972525111 | COOK | DARRYL | BRUCE |   | PO BOX 4788 | POCATELLO | ID | 832054788 |
1295757433 | DAVIS | THOMAS | VANCE |   | PO BOX 4788 | POCATELLO | ID | 832054788 |
1992727143 | EVANS | CHARLES | BARCLAY |   | PO BOX 4788 | POCATELLO | ID | 832054788 |
1649474719 | GODFREY | JONATHAN | D |   | 1151 HOSPITAL WAY | POCATELLO | ID | 832015091 |
1710358007 | GREGSON | MATTHEW |   |   | 1151 HOSPITAL WAY, BLDG A | POCATELLO | ID | 832015091 |
1114028354 | JOHNSON | SHAD | CARL |   | 1151 HOSPITAL WAY BLDG A | POCATELLO | ID | 832012763 |