| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1558641274 | OASIS PEDIATRICS | 3217 W BAVARIA ST | EAGLE | ID | 836165171 | |||
| 1609887801 | JOHNSON | JEFFERY | L | 3340 E GOLDSTONE WAY | MERIDIAN | ID | 836421026 | |
| 1629228978 | SIERRA | TALIA | M | 3340 E GOLDSTONE WAY | MERIDIAN | ID | 836421026 |