| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1073987814 | BLAD | CORY | 2235 E 25TH ST | IDAHO FALLS | ID | 834047519 | ||
| 1285757583 | HARRIS | BEN | 4479 W 4000 N | REXBURG | ID | 834403192 | ||
| 1033851761 | MELLO | WILLIAM | B | 3649 N LAKEHARBOR LN | BOISE | ID | 837036913 | |
| 1376206821 | OAKES | MITCHELL | T | 16501 N AMTRUST ST APT 202 | NAMPA | ID | 836875294 |