Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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James Lyle Derickson, MD

Individual provider Family Medicine Physician · NPI 1023035524

James Lyle Derickson, MD is a Family Medicine Physician in Nogales, Arizona. Works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1852 N Mastick Way
Nogales, AZ 85621
Phone: (520) 281-1550
Fax: (520) 281-4487
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1260 S Campbell Rd, Green Valley, AZ 85614-2666 — (520) 407-5800

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 37067 (AZ)

Record details

NPI number1023035524
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESNovember 28, 2018
Mailing address825 N Grand Ave Ste 100, Nogales, AZ 85621-1061

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