| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1053361980 | DONCOUSE | KAREN | | | 9696 W HEATHER RD | POCATELLO | ID | 832047232 |
| 1700836418 | JOHANSON | GARY | R | | PO BOX 4107 | POCATELLO | ID | 832054107 |
| 1568802569 | KNAPP | KENNETH | MICHAEL | | PO BOX 4107 | POCATELLO | ID | 832054107 |
| 1568412278 | KNIEVEL | DALE | T | | PO BOX 4107 | POCATELLO | ID | 832054107 |
| 1871541805 | KNOX | PHILIP | JAMES | | PO BOX 4107 | POCATELLO | ID | 832054107 |
| 1073715090 | SNELL | DANIEL | DALLEY | | PO BOX 4107 | POCATELLO | ID | 832054107 |
| 1225330954 | STODDARD | NICHOLAS | | | PO BOX 4107 | POCATELLO | ID | 832054107 |
| 1790743490 | TRAUL | JOHN | BENJAMIN | | PO BOX 4107 | POCATELLO | ID | 832054107 |
| 1750691929 | WATERMAN | CASSIDI | B | | PO BOX 4107 | POCATELLO | ID | 832054107 |
Home