| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1003157025 | HAYS | MONTY | D | 200 S ALMON ST APT 214 | MOSCOW | ID | 838433128 | |
| 1417308495 | KANIKKEBERG | RODNEY | 317 W 6TH ST | MOSCOW | ID | 838432321 | ||
| 1205339942 | MESA | NOELLE | CHRISTINA | 317 W 6TH ST STE 208 | MOSCOW | ID | 838432387 | |
| 1942837117 | PAUL | SHAHNA | G | 317 W 6TH ST STE 208 | MOSCOW | ID | 838432387 | |
| 1386919124 | SALADA | DOUGLAS | PHILLIP | 530 N MOORE ST | MOSCOW | ID | 838433254 | |
| 1619565504 | TIEDEMAN-MUELLER | SAVANNAH | 317 W 6TH ST STE 208 | MOSCOW | ID | 838432387 |