NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1134172679 |   |   |   | BANNER GOOD SAMARITAN BARIATRIC PROGRAM | 1441 N 12TH ST | PHOENIX | AZ | 850062837 |
1669432407 | BIGELOW | KERI | LEI |   | 1441 N 12TH ST | PHOENIX | AZ | 850062837 |
1346200219 | COOPER | KRISTINA | M |   | 1441 N 12TH ST | PHOENIX | AZ | 850062837 |
1972562411 | KILLINGSWORTH | PATTI | LYNNE |   | 1441 N 12TH ST | PHOENIX | AZ | 850062837 |
1669441408 | PROSSER | ROBYN | L |   | 1010 N COUNTRY CLUB DR | MESA | AZ | 852013309 |
1255300224 | VANDERPLUYM | NANCEE | E |   | 1441 N 12TH ST | PHOENIX | AZ | 850062837 |