| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1043507072 | MAGGARD | RICHARD | LYNN | 5230 W FRANKLIN RD | BOISE | ID | 837051109 | |
| 1467510305 | REIBER | LONDON | 9820 DUNDEE CT | NAMPA | ID | 836869820 | ||
| 1235425703 | RUDYI | ANDREI | 5230 W FRANKLIN RD | BOISE | ID | 837051109 |