NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1538634522 |   |   |   | GRITMAN MEDICAL CENTER, INC. | 700 S MAIN ST | MOSCOW | ID | 838433046 |
1609940501 |   |   |   | CATALYST MEDICAL GROUP, PLLC | 623 S MAIN ST | MOSCOW | ID | 838432983 |
1639482409 |   |   |   | PROVIDENCE HEALTH & SERVICES | PO BOX 3776 | SEATTLE | WA | 981243776 |
1912118928 | BALDWIN | RONALD | FRANCIS |   | 2500 W A ST STE 101 | MOSCOW | ID | 838436000 |
1306038997 | BLEWETT | KIMBERLEY | D |   | 623 SOUTH MAIN STREET | MOSCOW | ID | 83843 |
1669786653 | BONNETT | JESSICA | E |   | 700 S MAIN ST | MOSCOW | ID | 838433046 |
1073871844 | BOUCHARD | JACQUES | MAURICE |   | 700 S MAIN ST | MOSCOW | ID | 838433046 |
1053500868 | BRAUN | JOANNE | L |   | 623 SOUTH MAIN STREET | MOSCOW | ID | 83843 |
1770557662 | CALDWELL | WILLIAM | E |   | 623 S MAIN ST | MOSCOW | ID | 838432983 |
1407237043 | CHRISTENSEN | JACOB | KENT |   | 623 S MAIN ST STE 1 | MOSCOW | ID | 838433042 |
1285782805 | COX | CRAIG | H |   | 623 SOUTH MAIN STREET | MOSCOW | ID | 83843 |
1457627937 | DAY | SUMMER | LYNN |   | 623 S MAIN ST STE 1 | MOSCOW | ID | 838432983 |
1588028567 | DUDLEY | AMY | ELIZABETH |   | 623 S MAIN ST STE 100 | MOSCOW | ID | 838432983 |
1891732319 | ELSBURY | NANCY | JO |   | 777 N RAYMOND ST | BOISE | ID | 837049251 |
1841780293 | FIELDS | MICHAEL | T |   | PO BOX 8007 | MOSCOW | ID | 838430507 |
1811961881 | FISCHER | STEVEN | EUGENE |   | 623 S MAIN ST | MOSCOW | ID | 838432983 |
1669430955 | LORENZ | RANDALL | G. |   | 623 SOUTH MAIN STREET | MOSCOW | ID | 83843 |
1184707952 | LOTT | VICKY | M |   | 623 SOUTH MAIN STREET | MOSCOW | ID | 83843 |
1053398578 | MARCIANO | PATRICIA | N. |   | PO BOX 2505 | INDIANAPOLIS | IN | 462062505 |
1598058711 | PARKER | BRYN | ELISE |   | 623 S MAIN ST STE 1 | MOSCOW | ID | 838432983 |
1285607085 | RUBY | WAYNE | LAVERN |   | 623 S MAIN ST | MOSCOW | ID | 838432983 |
1013981604 | RYCH | GLENN | DAVID |   | 623 S MAIN ST | MOSCOW | ID | 838432983 |
1619402484 | SAUTTER | ROBIN | ASHLEY |   | PO BOX 8007 | MOSCOW | ID | 838430507 |
1104890177 | SHEARER | HELEN | MARIE |   | 623 S MAIN ST | MOSCOW | ID | 838432983 |
1306819115 | SHUPE | DAVID | D |   | 623 S MAIN ST | MOSCOW | ID | 838432983 |
1669856118 | SHUTTE | MEGHAN | C. |   | 700 S MAIN ST | MOSCOW | ID | 838433046 |
1669445474 | SPAIN | FRANCIS | KERK |   | 623 S MAIN ST | MOSCOW | ID | 838432983 |
1881680312 | SPRINKLE | THOMAS | D |   | 700 S MAIN ST | MOSCOW | ID | 838433046 |
1992778708 | TING | ROBERT | MANUEL |   | 623 S MAIN ST STE 1 | MOSCOW | ID | 838433042 |
1871567909 | WORKMAN | GLORIA |   |   | 623 S MAIN ST | MOSCOW | ID | 838432983 |