| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1265929145 | AFANYU-LORATER | FABRICE | 103 MEDICINE WAY RD | PERIDOT | AZ | 85542 | ||
| 1558883504 | ALLISON | DAVID | HOMER | 103 MEDICINE WAY RD | PERIDOT | AZ | 85209 | |
| 1770950990 | GARZELLA | NORMAN | JOSEPH | 103 MEDICINE WAY ROAD | PERIDOT | AZ | 85542 | |
| 1306336292 | LUNT | NATHAN | MARC | 103 MEDICINE WAY RD | PERIDOT | AZ | 85542 |