Individual
ANDREW W MAYBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
890 W 4TH ST, BENSON, AZ 85602-6437
(520) 586-3664
(520) 586-3486
Mailing address
1205 N F AVE, DOUGLAS, AZ 85607-1920
(520) 364-6852
(520) 364-4261
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28086
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
502056
—
AZ
Enumeration date
06/08/2006
Last updated
06/26/2020
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