NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1225169188 |   |   |   | BANNER ARIZONA MEDICAL CLINIC LTD | 13640 N PLAZA DEL RIO BLVD | PEORIA | AZ | 853814846 |
1487603106 | LIVINGSTON | BRYNNE | A |   | 13640 N PLAZA DEL RIO BLVD | PEORIA | AZ | 853814846 |