| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1851302046 | CONNER | LESLIE | D | 651 MEMORIAL DR | POCATELLO | ID | 832014071 | |
| 1609887801 | JOHNSON | JEFFERY | L | 3340 E GOLDSTONE WAY | MERIDIAN | ID | 836421026 | |
| 1972621340 | MILDER | CAROL | 651 MEMORIAL DR | POCATELLO | ID | 832014071 | ||
| 1528228806 | PROCTOR | STEVEN | D | 651 MEMORIAL DR | POCATELLO | ID | 832014071 |