| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1679751770 | MARK D. WIGOD, MD, PA | 3630 E LOUISE DR | MERIDIAN | ID | 836427975 | |||
| 1689914186 | EP SERVICES LLC | 1601 E 17TH ST | IDAHO FALLS | ID | 834046313 | |||
| 1740479476 | MEADOW LAKE SURGERY CENTER INC | 3630 E LOUISE DR | MERIDIAN | ID | 836427975 | |||
| 1194285718 | JT ANESTHESIA SERVICES PLLP | 1601 E 17TH ST | IDAHO FALLS | ID | 834046313 | |||
| 1508197666 | EATON | CHAMAGNE | JANAE | 3147 S SHORTLEAF AVE | BOISE | ID | 837168610 | |
| 1871749408 | KING | JACQUELINE | 3630 E LOUISE DR | MERIDIAN | ID | 836427975 | ||
| 1275772667 | SHAW | REBECCA | D | 3630 E LOUISE DR | MERIDIAN | ID | 836427975 | |
| 1427086164 | WIGOD | MARK | DAVID | 7157 N SPURWING WAY | MERIDIAN | ID | 836425179 |