| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1740479476 | MEADOW LAKE SURGERY CENTER INC | 3630 E LOUISE DR | MERIDIAN | ID | 836427975 | |||
| 1871749408 | KING | JACQUELINE | 3630 E LOUISE DR | MERIDIAN | ID | 836427975 | ||
| 1427086164 | WIGOD | MARK | DAVID | 7157 N SPURWING WAY | MERIDIAN | ID | 836425179 |