NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1902906787 | DERBES | LAWRENCE |   |   | 2003 KOOTENAI HEALTH WAY | COEUR D ALENE | ID | 838146051 |
1700889607 | PENNOCK | GREGORY | D |   | 2003 KOOTENAI HEALTH WAY | COEUR D ALENE | ID | 838146051 |