| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1598993057 | COMMUNITY MEDICAL SERVICES IV LLC | 3825 N 24TH ST | PHOENIX | AZ | 850166512 | |||
| 1841353935 | COMMUNITY MEDICAL SERVICES IV LLC | 2559 E 7TH AVE | FLAGSTAFF | AZ | 860043722 | |||
| 1023591864 | BOYD | RIELLY | 312 W FOREST AVE | FLAGSTAFF | AZ | 860011419 | ||
| 1265943252 | FERGUSON | GAVIN | 3331 S GILLENWATER DR | FLAGSTAFF | AZ | 860058983 | ||
| 1891446795 | YARBROUGH | GREGORY | PO BOX 403 | DEWEY | AZ | 863270403 |