NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1487272399 |   |   |   | SHOSHONE MEDICAL CENTER | 25 JACOBS GULCH RD | KELLOGG | ID | 838372023 |
1700363348 | BRISTOW | TEIRZA | D |   | 25 JACOBS GULCH RD | KELLOGG | ID | 838372023 |
1578061883 | MOFFETT | ANN | N |   | 25 JACOBS GULCH RD | KELLOGG | ID | 838372023 |