NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1235680703 |   |   |   | GRITMAN MEDICAL CENTER INC | PO BOX 8007 | MOSCOW | ID | 838430507 |
1790182590 |   |   |   | GRITMAN MEDICAL CENTER INC. | 700 S MAIN ST | MOSCOW | ID | 838433056 |
1306379052 | BULLARD | CHRISTOPHER | J |   | PO BOX 8007 | MOSCOW | ID | 838430507 |
1740721034 | HALAMA | PAULA | KAY |   | 700 S MAIN ST | MOSCOW | ID | 838433056 |
1902917834 | MODAD | MUSA |   |   | 700 S MAIN ST | MOSCOW | ID | 838433046 |
1477856649 | SHOEMAKER | CAROLYN | JEAN |   | PO BOX 8007 | MOSCOW | ID | 838430507 |