| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1508345091 | INTEGRATED DERMATOLOGY OF IDAHO LLC | 4700 EXCHANGE CT STE 110 | BOCA RATON | FL | 334314450 | |||
| 1912040270 | GEM STATE DERMATOLOGY, PA | PO BOX 1603 | BOISE | ID | 837021603 | |||
| 1669415188 | LANE | MICHAEL | J | PO BOX 1603 | BOISE | ID | 837011603 | |
| 1487899365 | MENTZER | JACLYN | GOLUS | 388 E. PARKCENTER BLVD. GEM STATE DERMATOLOGY | BOISE | ID | 83706 | |
| 1548214265 | MINGS | STEVEN | M | PO BOX 1603 | BOISE | ID | 837021603 | |
| 1386233997 | TSUDA | KATHERINE | LINDSEY ANN | 388 E PARKCENTER BLVD | BOISE | ID | 837063942 |