| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1760825442 | HAMBLIN | JASON | GARY | 933 BRADBURY DR SE | ALBUQUERQUE | NM | 871064374 | |
| 1912035999 | HARDESTY | MICHAEL | D | 3340 E GOLDSTONE WAY | MERIDIAN | ID | 836421026 | |
| 1073982245 | WILSON | KIM | 1055 N CURTIS RD | BOISE | ID | 837061309 |