Individual
DARRELL D WADAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
127 E MAIN ST STE D, PAYSON, AZ 85541-5646
(602) 761-0707
Mailing address
PO BOX 12330, CHANDLER, AZ 85248-0023
(602) 761-0707
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
13563
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275215
—
AZ
Enumeration date
02/06/2006
Last updated
02/20/2024
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