NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1033532130 |   |   |   | FOOTHILLS SPORTS MEDICINE & REHABILITATION - GOLD CANYON, LLC | 15410 S MOUNTAIN PKWY | PHOENIX | AZ | 850446691 |
1881648673 | FOLEY | WAYNE | R |   | 6804 S KINGS RANCH RD STE 103 | GOLD CANYON | AZ | 851182960 |
1215452719 | SHADLE | TANYA |   |   | 15410 S MOUNTAIN PKWY STE 112 | PHOENIX | AZ | 850446691 |