NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1144267022 |   |   |   | BLUE LAKES GASTROENTEROLOGY, PLLC | 775 POLE LINE RD W | TWIN FALLS | ID | 833015814 |
1821299553 |   |   |   | BLUE LAKES GASTROENTEROLOGY PLLC | 775 POLE LINE RD W | TWIN FALLS | ID | 833015814 |
1376084673 | AHLQUIST | MARCI |   |   | 775 POLE LINE ROAD WEST | TWIN FALLS | ID | 83301 |
1285811505 | AKINS | JULIE | L |   | PO BOX 587 | TWIN FALLS | ID | 833030587 |
1821418120 | JAAFAR | IMAD |   |   | 190 E BANNOCK ST | BOISE | ID | 837126241 |
1285742452 | KOHRING | HEATHER | MERTEN |   | PO BOX 587 | TWIN FALLS | ID | 833030587 |
1336183813 | SMITH | KENT | J |   | PO BOX 587 | TWIN FALLS | ID | 833030587 |
1669443909 | STARLEY | BRAD | Q |   | 190 E BANNOCK ST | BOISE | ID | 837126241 |
1073022778 | TVERDY | KIMBERLY | DOLECHECK |   | 190 E BANNOCK ST | BOISE | ID | 837126241 |
1508894262 | WARD | ROBERT | M |   | PO BOX 587 | TWIN FALLS | ID | 833030587 |
1548222516 | WHEELER | SETH | N |   | PO BOX 587 | TWIN FALLS | ID | 833030587 |