| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1841969276 | DRAKE | DANIEL | DAVIS | 225 EAGLE CREST DR | RANGELY | CO | 816483105 | |
| 1962179002 | FUGAL | GREGORY | EARL | 225 EAGLE CREST DR | RANGELY | CO | 816482104 | |
| 1528403672 | GARNER DUNKER | TAMMY | ANN | 225 EAGLE CREST ST | RANGELY | CO | 816483105 | |
| 1003004342 | TANAKA | SHINGO | 225 EAGLE CREST ST | RANGELY | CO | 816483105 |