| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1790981025 | CAMPBELL | MATTHEW | BRENT | 2963 E COPPER POINT DR | MERIDIAN | ID | 836429055 | |
| 1205873247 | GOUGH | DAVID | THOMAS | 2963 E COPPER POINT DR | MERIDIAN | ID | 836429055 | |
| 1275621104 | HAMMERSTEDT | HEATHER | S | 2963 E COPPER POINT DR | MERIDIAN | ID | 836429055 | |
| 1215981741 | HUANG | PO | YU | 2963 E COPPER POINT DR | MERIDIAN | ID | 836429055 | |
| 1144273079 | KLEIN | FREDERICK | J | 190 E BANNOCK ST | BOISE | ID | 837126241 |