| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1780715698 | BANNER ARIZONA MEDICAL CLINIC LTD | 13640 N PLAZA DEL RIO BLVD | PEORIA | AZ | 853814846 | |||
| 1295720951 | JASINSKI | LEONARD | A | 13640 N PLAZA DEL RIO BLVD | PEORIA | AZ | 853814846 | |
| 1982690343 | LISOOK | STEVEN | M | 13640 N PLAZA DEL RIO BLVD | PEORIA | AZ | 853814846 | |
| 1285616292 | RALSTON | SUSAN | C | 13640 N PLAZA DEL RIO BLVD | PEORIA | AZ | 853814846 |