| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1588611263 | DUERR | ROBERT | L | 190 E BANNOCK ST | BOISE | ID | 837126241 | |
| 1487691176 | MULKEY | BRADLEY | D | 190 E BANNOCK ST | BOISE | ID | 837126241 | |
| 1518994367 | PRIEST | MARSHALL | F | 190 E BANNOCK ST | BOISE | ID | 837126241 | |
| 1306006929 | VAUGHN | SHANNON | R | 190 E BANNOCK ST | BOISE | ID | 837126241 |