NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1114129798 |   |   |   | PORTNEUF VALLEY FAMILY CENTER | PO BOX 4908 | POCATELLO | ID | 832054908 |
1518170968 |   |   |   | PORTNEUF VALLEY FAMILY CENTER | PO BOX 4908 | POCATELLO | ID | 832054908 |
1144518622 | AVILA | KATIE |   |   | PO BOX 4908 | POCATELLO | ID | 832054908 |
1124448675 | BALLS | JASON | W |   | 353 N 4TH AVE | POCATELLO | ID | 832016390 |
1902925712 | BIGELOW | SARA | ANNE |   | 353 N. 4TH STREET | POCATELLO | ID | 83201 |
1457644403 | CRACROFT | GWEN |   |   | PO BOX 4908 | POCATELLO | ID | 832054908 |
1508158551 | EAMES | HEATHER |   |   | PO BOX 4908 | POCATELLO | ID | 832054908 |
1811417272 | ELLSWORTH | LAUREN | ELIZABETH |   | 444 HOSPITAL WAY STE 477 | POCATELLO | ID | 832012744 |
1912489980 | GAULT | RENEE |   |   | 444 HOSPITAL WAY STE 477 | POCATELLO | ID | 832012744 |
1326564956 | GREGERSEN | COLLETTE | CARTER |   | 444 HOSPITAL WAY STE 477 | POCATELLO | ID | 832012744 |
1750887394 | GRISCHKOWSKY | SHAWN |   |   | 444 HOSPITAL WAY STE 477 | POCATELLO | ID | 832012744 |
1588898001 | HOLYOAK | ROGER | D. |   | 2055 GARRETT WAY | POCATELLO | ID | 832015100 |
1982271904 | JAMESON | PAUL | CODY |   | PO BOX 4908 | POCATELLO | ID | 832054908 |
1760980023 | JOHNSTON | LISA | GAY |   | 444 HOSPITAL WAY STE 477 | POCATELLO | ID | 832012744 |
1457655631 | LABRUM | MANDARAN |   |   | 2055 GARRETT WAY STE 1 | POCATELLO | ID | 832015155 |
1952917353 | LEAVITT | WENDE | CHRISTINE |   | 444 HOSPITAL WAY STE 477 | POCATELLO | ID | 832012744 |
1184176463 | LIND | KELLY |   |   | 444 HOSPITAL WAY STE 477 | POCATELLO | ID | 832012744 |
1043783368 | MALAY | AMBER | CAROLYNN |   | 444 HOSPITAL WAY STE 477 | POCATELLO | ID | 832012744 |
1801384847 | MARASCO | VINCENT |   |   | 444 HOSPITAL WAY STE 477 | POCATELLO | ID | 832012744 |
1649569765 | MAYER | AMANDA |   |   | PO BOX 4908 | POCATELLO | ID | 832054908 |
1578849808 | MITCHELL | STEFANIE |   |   | 2055 GARRETT WAY STE 1 | POCATELLO | ID | 832015155 |
1508175852 | NAFTZGER | ERNIE |   |   | 2055 GARRETT WAY STE 1 | POCATELLO | ID | 832015155 |
1285289207 | NGADJUI | OLIVIA | THERESA |   | 444 HOSPITAL WAY STE 477 | POCATELLO | ID | 832012744 |
1467826115 | O'DONNELL | SHANNON |   |   | 444 HOSPITAL WAY | POCATELLO | ID | 832012745 |
1952420077 | POTTER | CHARITY |   |   | PO BOX 4908 | POCATELLO | ID | 832054908 |
1265862783 | REARDON | NAOMI |   |   | 353 N 4TH AVE | POCATELLO | ID | 832016390 |
1932228053 | RICKERT | TAMI | L. |   | PO BOX 4908 | POCATELLO | ID | 832054908 |
1770828170 | RISER | DENISE | L |   | PO BOX 4908 | POCATELLO | ID | 832054908 |
1649571100 | RUUD | CAROL |   |   | 2055 GARRETT WAY STE 1 | POCATELLO | ID | 832015155 |
1740928076 | VRBA | CONNER | JAMES |   | 444 HOSPITAL WAY STE 477 | POCATELLO | ID | 832012744 |
1639526932 | WADE | CINDY |   |   | 444 HOSPITAL WAY | POCATELLO | ID | 832012745 |
1184113482 | WYNN-GALLIPEAU | KOLLEEN | MARIE |   | 444 HOSPITAL WAY STE 447 | POCATELLO | ID | 832012744 |