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 |
1558709121 | BENTLEY | GARRETT | A |   | 2963 W WHITE MOUNTAIN BLVD | LAKESIDE | AZ | 859296257 |
1194042713 | BIRCH | BRIAN | C |   | 190 E BANNOCK ST | BOISE | ID | 837126241 |
1982269973 | CONNER | PATRICIA |   |   | 775 POLE LINE RD W STE 105&111 | TWIN FALLS | ID | 833015814 |
1053801456 | GORRINGE | STEPHANIE | RANDS |   | 775 POLE LINE RD W STE 105 | TWIN FALLS | ID | 833015819 |
1952023905 | GULLY | MEGAN | LYNN |   | 116 W 25 S | JEROME | ID | 833385308 |
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 |
1609320126 | MITCHELL | JORDAN | MARIE |   | 529 BROADWAY AVE S | BUHL | ID | 833161312 |
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 |
1487218814 | PERKINS | LOGAN |   |   | 190 E BANNOCK ST | BOISE | ID | 837126241 |
1215971593 | PREUCIL | DANIEL | G |   | PO BOX 587 | TWIN FALLS | ID | 833030587 |
1194291823 | QUESNELL | JENNIFER | JOY |   | 3606 E 3892 N | KIMBERLY | ID | 833415150 |
1952645426 | RICE | LYNN | ROSELLE |   | 219 MORELAND AVE | TWIN FALLS | ID | 833013838 |
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 |
1558838136 | WINWARD | DANIEL | THANE |   | 190 E BANNOCK ST | BOISE | ID | 837126241 |