| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1033556089 | NORTHERN ARIZONA HEALTHCARE PROVIDER GROUP, LLC | 1200 NORTH BEAVER STREET | FLAGSTAFF | AZ | 860013118 | |||
| 1366497745 | BASTANI | JEHANGIR | B | 1200 N BEAVER ST | FLAGSTAFF | AZ | 860013118 | |
| 1366423238 | GAGLIARDI | FRANCIS | S | 1200 N BEAVER ST | FLAGSTAFF | AZ | 860013118 |