| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1568445211 | GARSKOF | MARK | MITCHELL | 2963 W WHITE MOUNTAIN BLVD | LAKESIDE | AZ | 859296257 | |
| 1033177688 | HAWKINS | THOMAS | EDWARD | 2963 W WHITE MOUNTAIN BLVD | LAKESIDE | AZ | 859296257 | |
| 1215994462 | TEAGUE | LINDA | DIANE | 2963 W WHITE MOUNTAIN BLVD | LAKESIDE | AZ | 859296257 |