NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1497991749 |   |   |   | ALLIANCE MEDICAL GROUP, LLC | PO BOX 191050 | BOISE | ID | 837191050 |
1568789980 | ADAMS | JOSHUA | ALLEN |   | PO BOX 191050 | BOISE | ID | 837191050 |
1891733663 | BARNES | DARRYL | D |   | 1907 S BROADWAY AVE # 101 | BOISE | ID | 837064201 |
1265056568 | COLDSNOW | STUART |   |   | PO BOX 191050 | BOISE | ID | 837191050 |
1699361568 | HANSEN | DEVIN | K |   | PO BOX 191050 | BOISE | ID | 837191050 |
1932797248 | HILL | LOGAN |   |   | PO BOX 191050 | BOISE | ID | 837191050 |
1679168223 | LARSON | ALEXANDER | RONALD |   | PO BOX 191050 | BOISE | ID | 837191050 |
1780621128 | MICHAUD | MARK |   |   | 1907 S BROADWAY AVE STE 101 | BOISE | ID | 837064201 |
1669633798 | NELSON | MATTHEW | JACOB |   | PO BOX 191050 | BOISE | ID | 837191050 |
1922004878 | NISKA | LOIS | R. |   | 203 N WASHINGTON ST STE 300 | SPOKANE | WA | 992010254 |
1356694384 | PROFFITT | FRANNIE | ANN |   | 190 E BANNOCK ST | BOISE | ID | 837126241 |
1821065368 | STOLPE | MARK | M |   | 1907 S BROADWAY AVE # 101 | BOISE | ID | 837064201 |
1306458534 | SWEARINGEN | BLAIR | C |   | PO BOX 191050 | BOISE | ID | 837191050 |
1780054619 | ZAPP | LYNDSI | MARIE |   | PO BOX 191050 | BOISE | ID | 837191050 |