| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1568593325 | | | | BANNER ARIZONA MEDICAL CLINIC LTD | 13640 N PLAZA DEL RIO BLVD | PEORIA | AZ | 853814846 |
| 1669429320 | BENOIT | MARTIN | | | 13640 N PLAZA DEL RIO BLVD | PEORIA | AZ | 853814846 |
| 1245268820 | BUMANGLAG | MICHAEL | A | | 13640 N PLAZA DEL RIO BLVD | PEORIA | AZ | 853814846 |
| 1376583542 | GROBLER | LEON | J | | 13640 N PLAZA DEL RIO BLVD | PEORIA | AZ | 853814846 |
| 1770523888 | KORT | JAMES | S | | 13640 N PLAZA DEL RIO BLVD | PEORIA | AZ | 853814846 |
| 1720028905 | ONG | HONG | K | | 13640 N PLAZA DEL RIO BLVD | PEORIA | AZ | 853814846 |
| 1639119811 | WAITE | DUSTIN | C | | 13640 N PLAZA DEL RIO BLVD | PEORIA | AZ | 853814846 |