| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1710977509 | GRANGE | DANIEL | LEE | 1055 N CURTIS RD | BOISE | ID | 837061309 | |
| 1023672318 | NOORLANDER | KYLE | P. | 1055 N CURTIS RD | BOISE | ID | 837061309 | |
| 1306186192 | WHEELER | BRYCE | RIAL | 1055 N CURTIS RD | BOISE | ID | 837061309 |