| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1659829109 | ARIZONA SKIN AND LASER THERAPY INSTITUTE, LTD | 2224 W NORTHERN AVE | PHOENIX | AZ | 850214928 | |||
| 1760418008 | ARIZONA SKIN AND LASER THERAPY INSTITUTE, LTD | 2224 W NORTHERN AVE | PHOENIX | AZ | 850214928 | |||
| 1528782380 | DEETS | BREANNA | 1423 N WARREN CIR | MESA | AZ | 852074407 |