Individual
DR. DARYLL BROSANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 W IRVINGTON RD BLDG 10, TUCSON, AZ 85714-3050
(520) 670-3909
(520) 309-3050
Mailing address
839 W CONGRESS ST, TUCSON, AZ 85745-2819
(520) 670-3909
(520) 309-2560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41420
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91608830
—
NM
Enumeration date
06/29/2006
Last updated
03/28/2025
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