| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1659596351 | LUBISICH | CARL | A | 500 N US HIGHWAY 89 | PRESCOTT | AZ | 86313 | |
| 1659331833 | MOFFAT | DANIEL | LEE | 500 N US HIGHWAY 89 | PRESCOTT | AZ | 863135001 | |
| 1285738617 | WILLEMS | SHEILA | MICHELLE | 180 MICHAEL CIR | PRESCOTT | AZ | 863015476 |