Individual
DAREK ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
1775 W SAINT MARYS RD STE 116, TUCSON, AZ 85745-2662
(520) 293-5757
(520) 293-7358
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2857
AZ
363AM0700X
Medical Physician Assistant
Primary
2857
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52422
STATE LICENCE NUMBER
CA
Enumeration date
02/17/2006
Last updated
02/24/2026
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