| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1154364305 | BLACK | ERIC | PO BOX 600 | TUBA CITY | AZ | 860450600 | ||
| 1922536150 | PRADO | MELINDA | SUZANNE | 1260 S CAMPBELL RD BLDG 2 | GREEN VALLEY | AZ | 856140503 | |
| 1609449644 | WUERFEL | ANNIKA | 1260 S CAMPBELL AVE | GREEN VALLEY | AZ | 856140504 |