| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1083759880 | DELAROSA | JACOB | 777 HOSPITAL WAY STE 215 | POCATELLO | ID | 832015162 | ||
| 1518905413 | MADDEN | DAVID | M | PO BOX 4168 | POCATELLO | ID | 832054168 | |
| 1013270792 | MONTGOMERY | JASON | 777 HOSPITAL WAY | POCATELLO | ID | 832015175 | ||
| 1497824007 | VASQUEZ | JULIO | CESAR | 777 HOSPITAL WAY STE 215 | POCATELLO | ID | 832015162 |