JAMES LYLE DERICKSON

NOGALES, AZ
NPI1023035524
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: AZ  37067)
Enumeration Date2006-07-17
Last Update Date2018-11-28
Business Address
JAMES LYLE DERICKSON MD
1852 N MASTICK WAY
NOGALES, AZ 85621
Phone number: 520-281-1550
Mailing Address
JAMES LYLE DERICKSON MD
825 N GRAND AVE STE 100
NOGALES, AZ 85621-1061
Phone number: 520-761-2133
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