| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1922764737 | CHAVEZ | SASHA | SHERYLLE | 190 E BANNOCK ST | BOISE | ID | 837126241 | |
| 1023059250 | FAIRMAN | DAN | S | PO BOX 100 | KETCHUM | ID | 833400100 | |
| 1093768368 | MCCLURE | ROYAL | PO BOX 201 | KETCHUM | ID | 833400201 | ||
| 1720028004 | MCLAUGHLIN | AMBROSE | P | 190 E BANNOCK ST | BOISE | ID | 837126241 |