James Lyle Derickson, MD

NPI #1023035524 in Nogales, Arizona

Provider Information

NPI Number
1023035524
Entity Type
Individual
Name
James Lyle Derickson, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
MD
Enumeration Date
Jul 17, 2006
Last Updated
Nov 28, 2018

Practice Location

Address
1852 N MASTICK WAY
State
Arizona
ZIP Code
85621
Phone
(520) 281-1550

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