| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1376503375 | CLARK | JAMES | P | 1441 N 12TH ST | PHOENIX | AZ | 850062837 | |
| 1932178464 | DEARMORE | DIANE | I | 1441 N 12TH ST | PHOENIX | AZ | 850062837 | |
| 1225006315 | NEWSON | ANYALYNN | D | 1441 N 12TH ST | PHOENIX | AZ | 850062837 |