| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1982051751 | CRYSTAL | TANYA | REID | 1408 POMERELLE AVE | BURLEY | ID | 833182067 | |
| 1982693966 | DOWDLE | MARK | A | 1408 POMERELLE AVE STE H | BURLEY | ID | 833182068 | |
| 1982334538 | EDWARDS | ELIZABETH | ASHLEY | 732 WYMOUNT TER | PROVO | UT | 846042053 | |
| 1396914917 | PARKINSON | JASON | ONEAL | 8674B VOLCANO LOOP | MOUNTAIN HOME AFB | ID | 836485008 | |
| 1093479917 | ROZMAJZL | MEGAN | NICOLE | PO BOX 30180 | SALT LAKE CITY | UT | 841300180 |