| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1255626503 | ANDERSON | BRYANT | ERROL | 465 MEMORIAL DR | POCATELLO | ID | 832014008 | |
| 1538738943 | BREWSTER | ALEXANDRA | 465 MEMORIAL DR | POCATELLO | ID | 832014008 | ||
| 1841784535 | CHRISTENSEN | CHANCE | DAVIS | 465 MEMORIAL DR | POCATELLO | ID | 832014008 | |
| 1841923414 | FOSTER | MADELINE | CLAIRE | 465 MEMORIAL DR | POCATELLO | ID | 832014008 | |
| 1326335134 | JOHNSON | KOLBY | V | 465 MEMORIAL DR | POCATELLO | ID | 832014008 | |
| 1316516727 | TEKARLI | MUSTAFA | JIHAD | 465 MEMORIAL DR | POCATELLO | ID | 832014008 |