| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1992788095 | DETEMPLE | DEREK | JAMES | 1741 E MORTEN AVE STE C1 | PHOENIX | AZ | 850204645 | |
| 1225042666 | FALLS | ALICIA | 1741 E MORTEN AVE STE C | PHOENIX | AZ | 850204645 | ||
| 1982632055 | KUPKA | THOMAS | C. | 1741 E MORTEN AVE | PHOENIX | AZ | 850204645 |