| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1699850966 | EDLUND | MARK | JAMES | 228 SHOUP AVE W | TWIN FALLS | ID | 833015022 | |
| 1053628339 | KAES | PAT | M | 228 SHOUP AVE W | TWIN FALLS | ID | 833015022 | |
| 1326161480 | MCCUE PUGRUD | LISA | C | 228 SHOUP AVE W | TWIN FALLS | ID | 833015022 | |
| 1043527302 | ROYAL | JEREMY | 228 SHOUP AVE W | TWIN FALLS | ID | 833015022 |