| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1407862410 | GALE | STEPHEN | C | 3340 E GOLDSTONE WAY | MERIDIAN | ID | 83642 | |
| 1548784606 | GENTHER | MATTHEW | THOMAS | 3340 E GOLDSTONE WAY | MERIDIAN | ID | 836421026 | |
| 1427316942 | PERRY | ALVIN | PAUL | 3340 E GOLDSTONE WAY | MERIDIAN | ID | 83642 | |
| 1083931067 | UNDURRAGA PERL | VICENTE | JOSE | 3340 E GOLDSTONE WAY | MERIDIAN | ID | 83642 |