| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1700330917 | COOK | JESSE | TYLER | 1560 S CAROL ST | MERIDIAN | ID | 836461839 | |
| 1083902878 | HOMSTAD | BRETT | J | 2176 E FRANKLIN RD | MERIDIAN | ID | 836429024 | |
| 1558794552 | MUIR | JAMES | M | 1560 S CAROL ST | MERIDIAN | ID | 836461839 | |
| 1598085904 | O'BANNON | HILARY | 2176 E FRANKLIN RD | MERIDIAN | ID | 836429024 |