Individual provider · Type 1 NPI

Daniel Kade Derrick, MD

Student in an Organized Health Care Education/Training Program · Tucson, AZ

NPI number 1639929904 Active

Practice location

1625 N Campbell Ave
Tucson, AZ 85719-4330

Call (520) 694-0111 Map

Mailing address

PO Box 245067
Tucson, AZ 85724-5067

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202XR80907 (AZ)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1639929904

Daniel Kade Derrick, MD's National Provider Identifier is 1639929904, issued on Mar 27, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tucson, AZ. The record was last updated on May 20, 2025.