NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1356438816 |   |   |   | GRITMAN MEDICAL CENTER INC | 700 S MAIN ST | MOSCOW | ID | 83843 |
1689661050 | AINGE | CHARLOTTE | S |   | 700 S MAIN ST | MOSCOW | ID | 838433046 |
1992091722 | WORTHINGTON | SKYLER | S |   | PO BOX 8007 | MOSCOW | ID | 838430507 |