| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1053556258 | JORGENSEN | MELINDA | L | PO BOX 4285 | POCATELLO | ID | 832054285 | |
| 1154519619 | KHERICHA | NASEEM | PO BOX 4285 | POCATELLO | ID | 832054285 | ||
| 1063802023 | MOHOLY | MAXWELL | 1995 BENGAL VIEW DR | POCATELLO | ID | 832014994 |