Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAMES LYLE DERICKSON, MD
ActiveJAMES LYLE DERICKSON, MD is a Family Medicine healthcare provider located in NOGALES, Arizona. NPI 1023035524 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · NOGALES, AZ
Registration Details
- NPI Number
- 1023035524
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 17, 2006 (20.033370353673 yrs)
- Last Updated
- Nov 28, 2018
- License
-
37067 (AZ)
Practice Information
- Address
-
1852 N MASTICK WAYNOGALES, AZ, 85621Browse AZ providers · Browse ZIP 85621
- Phone
- 5202811550
- Fax
- 5202814487
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in NOGALES, AZ
| Name | Credential | NPI |
|---|---|---|
| WILLIAM L BARTHOLOMEW | M.D. | 1285626754 |
| VALERIE A WOHL | MD | 1053393298 |
| DR. GUY A CRAWFORD | M.D. | 1093799413 |
| DR. JOSEPH A GERBER | M.D. | 1497730279 |
| DR. CARMELO ALFONZO ECHEVERRIA | MD | 1669449187 |
| JEFFREY THOMAS MAUDLIN | M.D. | 1811930423 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.