| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1538634381 | HAMMOND | JUSTIN | 1515 W STATE ST | BOISE | ID | 837024039 | ||
| 1043500515 | LOVE | MICHAEL | WILLIAM | 1515 W STATE ST | BOISE | ID | 837024039 | |
| 1831779594 | YAN | LIANG | 1515 W STATE ST | BOISE | ID | 837024039 |