| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1801057708 | HUNTINGTON | MARY | ANN Z. | 190 E BANNOCK ST | BOISE | ID | 83712 | |
| 1437598059 | KRASOVICH | SHARON | L | 190 E BANNOCK ST | BOISE | ID | 837126241 | |
| 1689627069 | MCDERMOTT | JOHN | DAVID | 190 E BANNOCK ST | BOISE | ID | 837126241 | |
| 1194773598 | TANABE | KIMBERLY | R | 190 E BANNOCK ST | BOISE | ID | 837126241 |