NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1245361773 |   |   |   | BANNER ARIZONA MEDICAL CLINIC LTD | 13640 N PLAZA DEL RIO BLVD | PEORIA | AZ | 853814846 |
1497785547 |   |   |   | ARIZONA MEDICAL CLINIC, LTD. | 13640 N PLAZA DEL RIO BLVD | PEORIA | AZ | 853814846 |