| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1023656782 | ATWOOD | RYAN | 207 E 12TH ST | EMMETT | ID | 836173626 | ||
| 1851326045 | MCCOLLY | JAMES | D. | 207 E 12TH ST | EMMETT | ID | 836173626 | |
| 1679574487 | STONE | BRYAN | 207 E 12TH ST | EMMETT | ID | 836173626 |