| Organization, Name | Practice Address | Practice Phone | Taxonomy | NPI |
| Allen, Mrs. Elvia Rea NP | 300 W. White Mountain Blvd., Suite D Lakeside AZ 85929-7014 | 928-368-4547 | 363LF0000X | 1639621741 |
| Angelo, Dr. Michael Frederick DPT | 218 W White Mountain Blvd Ste. A Lakeside AZ 85929-7013 | 928-367-5777 | 225100000X | 1124437520 |
| Arnett, Dr. William Walter Jr. PSY.D. | 372c W White Mountain Blvd Lakeside AZ 85929-6906 | 928-367-8243 | 103TC0700X | 1962565036 |
| MEDICAID AZ : 492869 |
| Birdno, Mr. Curtis Vance PA-C | 2963 W White Mountain Blvd Lakeside AZ 85929-6257 | 928-537-5437 | 363AM0700X | 1063740884 |
| Bligh Robertson, Susan CNM | 5658 Highway 260 Suite 24 Lakeside AZ 85929-5189 | 928-537-4379 | 367A00000X | 1902877590 |
| MEDICAID AZ : 459942 |
| Brimhall, Ian Kay DO | 4830 Highway 260 Ste 103 Lakeside AZ 85929-5845 | 928-537-8777 | 207X00000X | 1467652875 |
| MEDICAID AZ : 316896 || OTHER AZ RENDERING PROVIDER TRANSACTION ACCESS NUMBER(PTAN) : Z122726 |
| Brumfield, Suzanne C. OTR/L, CLT | 218 W White Mountain Blvd Suite A & B Lakeside AZ 85929-7013 | 928-367-5777 | 225X00000X | 1043623366 |
| Chappelle, Mrs. Irene Elizabeth L.AC | 5722 Webb Dr Lakeside AZ 85929-5194 | 928-242-0949 | 171100000X | 1295128742 |
| Clark, Michele Renae D.P.T. | 4830 Highway 260 Ste 105 Lakeside AZ 85929-5851 | 928-532-1221 | 225100000X | 1699343558 |
| Courtney, Joan V C. HT. | 163 W White Mountain Blvd Suite-c Lakeside AZ 85929-7004 | 928-367-8208 | 101Y00000X | 1841312295 |
| Cox, Eric | 100 W White Mountain Blvd Ste D Lakeside AZ 85929-6878 | 928-367-3913 | 225100000X | 1275565160 |
| Cox, Kent W M.D. | 5448 White Mountain Blvd Suite 140 Lakeside AZ 85929-5739 | 928-532-0072 | 207Y00000X | 1548252109 |
| OTHER AZ BLUE CROSS BLUE SHIELD : AZ0824160 || OTHER AZ CCN : 2245796 || OTHER AZ HEALTHNET : 2Z1140 || OTHER AZ RAN : 153886 || MEDICAID AZ : 431057 |
| Crawford, Gaylon D.O. | 300 W White Mountain Blvd Ste D Lakeside AZ 85929-7014 | 928-368-4547 | 207Q00000X | 1265402622 |
| MEDICAID AZ : 368333 |
| Donnelly, Richard E P.A.-C. | 43 W. White Mountain Blvd Lakeside AZ 85929-7002 | 928-367-4040 | 363AS0400X | 1396729455 |
| OTHER AZ TRIWEST : 86080015085259A253 || MEDICAID MN : 558930400 || MEDICAID AZ : 342254 || OTHER AZ RAILROAD MEDICARE : 970001299 |
| Ellsworth, Rachel K PT | 4830 Highway 260 Ste 105 Lakeside AZ 85929-5845 | 928-532-1221 | 225100000X | 1316490949 |
| Fischer, Linda Marie FNP-C | 5658 White Mountain Blvd Ste 21 Lakeside AZ 85929-5189 | (92-8) -358-1221 | 363L00000X | 1164737599 |
| MEDICAID AZ : 549411 |
| Flake, Derek R PT | 4830 Highway 260 Ste 105 Lakeside AZ 85929-5851 | 928-532-1221 | 225100000X | 1104154269 |
| OTHER AZ ARIZONA PT LICENSE : 8520PT |
| Fletcher, Kimberly | 3401 Lockwood Dr Lakeside AZ 85929-5613 | 928-368-2060 | 225200000X | 1508259417 |
| Garskof, Mr. Mark Mitchell M.D. | 2963 W White Mountain Blvd Lakeside AZ 85929-6257 | 928-368-0765 | 207Q00000X | 1568445211 |
| OTHER AZ BCBS : AZ0389120 || MEDICAID AZ : 200262 |
| Goodman, Dr. Patrick Adam DMD | 5060 Highway 260 Lakeside AZ 85929-5150 | 928-532-4451 | 1223G0001X | 1801852850 |
| Greco, Anthony Daniel MD | 5658 White Mountain Blvd Suite 7 Lakeside AZ 85929-5189 | 928-532-5463 | 208600000X | 1912978867 |
| OTHER AZ BLUE CROSS BLUE SHIELD AZ : AZ0789570 || MEDICAID AZ : 179318 |
| Green, Melissa CRNA | 5080 Mogollon Rim Dr Lakeside AZ 85929-5530 | 480-297-5926 | 367500000X | 1144258989 |
| MEDICAID IN : 200513500 || OTHER AZ MEDICARE PROVIDER : Z142693 |
| Hall, Hugh Ryan DPM | 4830 Highway 260 Ste 103 Lakeside AZ 85929-5851 | 928-532-5227 | 213ES0103X | 1952352619 |
| MEDICAID AZ : 087223 |
| Hall, Ms. Karen Olsen BS RD | 2332 Hall Dr Lakeside AZ 85929-5604 | 928-242-5098 | 133V00000X | 1003070996 |
| Harte, Jacqueline Susan L.AC | 1916 W Woodland Lake Rd Lakeside AZ 85929-6470 | 928-367-2551 | 171100000X | 1831392604 |
| Hegarty, Mary Katherine PT | 4830 Highway 260 Ste 105 Lakeside AZ 85929-5851 | 928-532-1221 | 225100000X | 1215425202 |
| Heiser, Ms. Kathleen Elizabeth SLPA | 3401 Lockwood Dr Lakeside AZ 85929-5613 | 928-368-2060 | 2355S0801X | 1679822704 |
| Hopson, Christopher David | 20 E White Mountain Blvd Lakeside AZ 85929-6807 | 928-367-5442 | 183500000X | 1790335107 |
| Jensen, Dr. Scott Milton M.D. | 6682 Lower Ridge Dr Lakeside AZ 85929-5064 | 928-224-4270 | 207Q00000X | 1033106497 |
| Keller, Heather | 20 E White Mountain Blvd Lakeside AZ 85929-6807 | 480-389-4519 | 101YP2500X | 1003065632 |
| Kessler, Dr. Thomas Melvin M.D. | 5658 Arizona 260 Lakeside AZ 85929 | 928-537-4379 | 207QG0300X | 1578590279 |
| Kyrimis, Melissa Ann MD | 5448 White Mountain Blvd Ste 200 Lakeside AZ 85929-5732 | 928-535-6667 | 207V00000X | 1346211901 |
| MEDICAID NV : 100507398 |
| Lesueur, Jeffrey Rayne M.D. | 5448 Highway 260 Suite 140 Lakeside AZ 85929-5739 | 928-532-0072 | 207Y00000X | 1336366335 |
| Lewis, John Corbridge APRN-RNP | 1789 Commerce Dr Lakeside AZ 85929-5354 | 928-368-4400 | 363LA2200X | 1619436771 |
| Lindstrom, Sarah | 3401 Lockwood Dr Lakeside AZ 85929-5613 | 928-368-2060 | 224Z00000X | 1366833873 |
| Martin, Mrs. Bobette S M.A.,CCC-A | 5658 Highway 260 Ste 4 Lakeside AZ 85929-5189 | 928-537-7373 | 231H00000X | 1568465995 |
| MEDICAID AZ : 562670 |
| Mcavoy, Tyler Dillon RPH, PHARMD | 20 E White Mountain Blvd Lakeside AZ 85929-6807 | 928-367-5442 | 183500000X | 1962984252 |
| Meier-bennett, Dr. Vera A. MD | 4672 Maverick Ln Suite 1 Lakeside AZ 85929-5434 | 928-358-4620 | 2080A0000X | 1326085572 |
| MEDICAID AZ : 619449 |
| Merrell, Mr. Monte G. M.D. | 300 W. White Mountain Blvd. Suite D Lakeside AZ 85929-7014 | 928-368-4547 | 207V00000X | 1295900165 |
| Moffat, Dr. Jeffrey L MD | 5448 S White Mountain Road Suite 270 Lakeside AZ 85929-4802 | 928-532-5838 | 207Q00000X | 1962469783 |
| MEDICAID AZ : 286387 |
| Neel, Daniel MD | 5658 W Highway 260 Suite 19 Lakeside AZ 85929-5189 | 928-532-5838 | 207Q00000X | 1073584645 |
| MEDICAID AZ : 285438 || OTHER AZ BLUE CROSS BLUE SHIELD AZ : AZ0325980 |
| O'connell, Dr. Michael S D.D.S. | 218 W White Mountain Blvd Ste D Lakeside AZ 85929-7013 | 602-349-7254 | 1223E0200X | 1699736652 |
| Oropeza, Valente Jose | 40 Rodeo Dr Unit 13 Lakeside AZ 85929-6903 | 928-228-3774 | 2279P4000X | 1386395911 |
| Peace, Dr. Donna Jean MD, MSW | Peace Family Medicine, Pc 218 W White Mountain Blvd, Ste D Lakeside AZ 85929-0000 | 928-367-9995 | 207Q00000X | 1346265501 |
| MEDICAID AZ : 836190 |
| Puchowicz, Michael Joseph M.D. | 4830 Highway 260 Suite 102 Lakeside AZ 85929-5845 | 928-537-1040 | 2080S0010X | 1134452303 |
| Reagan, Jeffrey Maurice M.D. | 4830 Highway 260 Ste 103 Lakeside AZ 85929-5851 | 928-537-8777 | 207XX0005X | 1477750636 |
| Reisner, Lorna Rae NP | 218 W White Mountain Blvd Suite D Lakeside AZ 85929-7013 | 928-367-9995 | 163W00000X | 1043249220 |
| Riepel, Brent Sr. RPH | 20 E White Mountain Blvd Lakeside AZ 85929-6807 | 928-367-5442 | 183500000X | 1609108786 |
| Ries, Dr. Kenly Leonard D.C. | 100 W White Mountain Blvd Suite C Lakeside AZ 85929-6878 | 928-367-4640 | 111N00000X | 1235450917 |
| Ries, Dr. Paul Leonard D.C. | 100 W. White Mountain Blvd. Lakeside AZ 85929 | 928-367-4640 | 111NR0400X | 1568523868 |
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