NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1174629976 |   |   |   | PORTNEUF VALLEY FAMILY CENTER | 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 |
1114228384 | DE WALL | ROBERT | ANDREW |   | 65 FORDHAM ST | POCATELLO | ID | 832013418 |
1912489980 | GAULT | RENEE |   |   | 444 HOSPITAL WAY STE 477 | POCATELLO | ID | 832012744 |
1588898001 | HOLYOAK | ROGER | D. |   | 2055 GARRETT WAY | POCATELLO | ID | 832015100 |
1467826115 | O'DONNELL | SHANNON |   |   | 444 HOSPITAL WAY | POCATELLO | ID | 832012745 |
1265862783 | REARDON | NAOMI |   |   | 353 N 4TH AVE | POCATELLO | ID | 832016390 |
1639526932 | WADE | CINDY |   |   | 444 HOSPITAL WAY | POCATELLO | ID | 832012745 |
1184113482 | WYNN-GALLIPEAU | KOLLEEN | MARIE |   | 444 HOSPITAL WAY STE 447 | POCATELLO | ID | 832012744 |