| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1003802539 | DICKMAN | CURTIS | A | 2910 N 3RD AVE | PHOENIX | AZ | 850134434 | |
| 1932196573 | REKATE | HAROLD | L | 2910 N 3RD AVE | PHOENIX | AZ | 850134434 | |
| 1346236122 | WALLACE | DONNA | C | 2910 N 3RD AVE | PHOENIX | AZ | 850134434 |