| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1851302046 | CONNER | LESLIE | D | 651 MEMORIAL DR | POCATELLO | ID | 832014071 | |
| 1831248962 | DESANO | EDWARD | 651 MEMORIAL DR | POCATELLO | ID | 832014071 | ||
| 1972621340 | MILDER | CAROL | 651 MEMORIAL DR | POCATELLO | ID | 832014071 | ||
| 1528228806 | PROCTOR | STEVEN | D | 651 MEMORIAL DR | POCATELLO | ID | 832014071 | |
| 1760531859 | WOODHOUSE | WILLIAM | 651 MEMORIAL DR | POCATELLO | ID | 832014071 |