NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1649245135 |   |   |   | COBRE VALLEY REGIONAL MEDICAL CENTER | 1134 W US HIGHWAY 60 | SUPERIOR | AZ | 851733400 |
1023129996 | JENSEN | BLAINE | S. |   | 1134 W HWY 60 | SUPERIOR | AZ | 851732647 |