| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1487785002 | BANNER ARIZONA MEDICAL CLINIC LTD | 13640 N PLAZA DEL RIO BLVD | PEORIA | AZ | 853814846 | |||
| 1174563357 | ANDERSON | FORDYCE | W | 13640 N PLAZA DEL RIO BLVD | PEORIA | AZ | 853814846 | |
| 1750488482 | SHAH | CHETNA | H | 13640 N PLAZA DEL RIO BLVD | PEORIA | AZ | 853814846 |