| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1720047764 | BRAINARD | WILLIAM | C | 1010 N COUNTRY CLUB DR | MESA | AZ | 852013309 | |
| 1407039910 | FORSBERG | RUSSELL | G. | 9305 W THOMAS RD | PHOENIX | AZ | 850373328 | |
| 1023222619 | MEKONNEN | LEGESSE | 9305 W THOMAS RD | PHOENIX | AZ | 850373328 | ||
| 1518561117 | PROSISE | CASSANDRA | 9561 W HATCHER RD | PEORIA | AZ | 853456325 | ||
| 1649249236 | ROMERO | IVAN | R | 1010 N COUNTRY CLUB DR | MESA | AZ | 852013309 | |
| 1881681534 | SIMONS | MICHAEL | PATRICK | 9305 W THOMAS RD | PHOENIX | AZ | 850373328 |