| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1245210228 | CYPRUS | IDALYN | 190 E BANNOCK ST | BOISE | ID | 837126241 | ||
| 1154301141 | DUFFY | KATHLEEN | J | 190 E BANNOCK ST | BOISE | ID | 837126241 | |
| 1922088905 | HUDSON | KEVIN | M | 190 E BANNOCK ST | BOISE | ID | 837126241 | |
| 1114907524 | JONAKIN | WILLIAM | L | 190 E BANNOCK ST | BOISE | ID | 837126241 | |
| 1083694053 | NASSER | WAJEEH | E | 190 E BANNOCK ST | BOISE | ID | 837126241 |