| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1386726081 | BOYD | WILLIAM | JOHN | 1441 N 12TH ST | PHOENIX | AZ | 850062837 | |
| 1063507077 | SMITH | GARY | LYLE | 1441 N 12TH ST | PHOENIX | AZ | 850062837 | |
| 1194806869 | VASQUEZ | CESAREO | G | 1441 N 12TH ST | PHOENIX | AZ | 850062837 |