| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1215392204 | CALL | ANSON | C | 1005 W 6TH S | MOUNTAIN HOME | ID | 836473339 | |
| 1376964759 | EICHELE | DANIEL | 7550 W EMERALD ST | BOISE | ID | 837049015 | ||
| 1013354109 | ELLIOTT | DUSTIN | K | 7550 W EMERALD ST | BOISE | ID | 837049015 | |
| 1407375405 | GIBBS | DALE | ROBERT | 7550 W EMERALD ST | BOISE | ID | 837049015 | |
| 1912545096 | SCHOLES | ANDRE | 7550 W EMERALD ST | BOISE | ID | 837049015 | ||
| 1780163303 | SIMMONS | CHAD | R | 7550 W EMERALD ST | BOISE | ID | 837049015 |