| NPI |
Provider Name |
Address |
Type |
| 1760626584 | CASEY LEE BURNS, IDMT | 84 BOMBER RD
726TH AIR CONTROL SQUADRON
MOUNTAIN HOME A F B, ID
ZIP 83648
Phone: (208) 828-3604
| Individual |
| 1942430178 | JOE CABALHIN DITTMAN, IDMT | 90 HOPE DR BLDG 6000
MOUNTAIN HOME A F B, ID
ZIP 83648
Phone: (208) 828-7313
| Individual |
| 1881824159 | MR. OMAR D HERNANDEZ SOLANO, IDMT | 90 HOPE DR BLDG 6000
366 AMDS/SGPF
MOUNTAIN HOME A F B, ID
ZIP 83648
Phone: (208) 828-7401
| Individual |
| 1194959908 | MR. JOSEPH PAUL KEDDIE, IDMT | 90 HOPE DR BLDG 6000
MOUNTAIN HOME A F B, ID
ZIP 83648
Phone: (912) 592-6614
| Individual |
| 1942533419 | KRISTEN ANNE LEWIS | 90 HOPE DR BLDG 6000
MOUNTAIN HOME A F B, ID
ZIP 83648
Phone: (208) 728-7401
| Individual |
| 1518101245 | DANE A. LOOMAN, IDMT | 84 BOMBER RD
726 ACS/SG
MOUNTAIN HOME A F B, ID
ZIP 83648
Phone: (208) 828-3604
| Individual |
| 1306070446 | MRS. BRANDI ADELE MACKEY, IDMT | 84 BOMBER RD
MOUNTAIN HOME A F B, ID
ZIP 83648
Phone: (208) 828-3604
| Individual |
| 1407086473 | MR. JEFFRIE NEIL MAYBERRY, IDMT | 90 HOPE DR BLDG 6000
MOUNTAIN HOME A F B, ID
ZIP 83648
Phone: (208) 828-7100
| Individual |
| 1669765871 | MRS. APRIL DENISE PACIOTTI, IDMT | 90 HOPE DR
BLD 6000
MOUNTAIN HOME A F B, ID
ZIP 83648
Phone: (208) 828-7296
| Individual |