| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1073188660 | LEWIS | NICHOLAS | 1411 FALLS AVE E STE 401 | TWIN FALLS | ID | 833013455 | ||
| 1285955583 | MCCORMICK | RYAN | PATRICK | 1411 FALLS AVE E STE 401 | TWIN FALLS | ID | 833013455 | |
| 1316604937 | RUSSO | ANTONINO | ROBERTO | 1411 FALLS AVE E STE 401 | TWIN FALLS | ID | 833013455 |