| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1003163205 | BROWN | BRITTANY | RENAE | 561 WAYSIDE PLZ | LAKE HAVASU CITY | AZ | 864033830 | |
| 1639745540 | EBANKS | COLBY | C | 1411 FALLS AVE E STE 401 | TWIN FALLS | ID | 833013455 | |
| 1730706581 | ESTUS | RYAN | JAY | 246 N CURLEW DR APT 11307 | AMMON | ID | 834011458 | |
| 1871119446 | WILLIAMS | LEVI | PETERSON | 1411 FALLS AVE E STE 401 | TWIN FALLS | ID | 833013455 |