| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1457499261 | GOULD | LINDA | J | 190 E BANNOCK ST | BOISE | ID | 837126241 | |
| 1003110313 | SCHOLTEN | ERIC | LD | 2347 E GALA ST | MERIDIAN | ID | 836424881 | |
| 1245294529 | SONI | MARGERY | M | 190 E BANNOCK ST | BOISE | ID | 837126241 | |
| 1659419448 | SOUZA | JAMES | P | 190 E BANNOCK ST | BOISE | ID | 837126241 |