| James Lyle Derickson, MD | |
|
1852 N Mastick Way, Nogales, AZ 85621 | |
| (520) 281-1550 | |
| (520) 281-4487 |
| Full Name | James Lyle Derickson |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1852 N Mastick Way, Nogales, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023035524 | NPI | - | NPPES |
| 266946 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 37067 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| James Lyle Derickson, MD 825 N Grand Ave Ste 100, Nogales, AZ 85621-1061 Ph: (520) 761-2133 | James Lyle Derickson, MD 1852 N Mastick Way, Nogales, AZ 85621 Ph: (520) 281-1550 |
Valerie A Wohl, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-1112 | |
Dr. Guy A Crawford, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1209 W Target Range Rd, Nogales, AZ 85621 Phone: 520-287-4747 Fax: 520-285-3136 | |
Kenneth Jones, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-4487 | |
La Kesha S Francis, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1209 W Target Range Rd Ste 100, Nogales, AZ 85621 Phone: 520-287-4747 Fax: 520-287-4487 | |
William Lester Bartholomew, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1171 W Target Range Rd, Nogales, AZ 85621 Phone: 520-285-3000 | |
Bernardo Chavira, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-1112 |