Provider Demographics
NPI:1093722878
Name:DAY, DAVID WAYNE (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:WAYNE
Last Name:DAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1500 N WILMOT RD
Mailing Address - Street 2:SUITE A-100
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-4416
Mailing Address - Country:US
Mailing Address - Phone:520-777-3777
Mailing Address - Fax:520-777-3220
Practice Address - Street 1:1500 N WILMOT RD
Practice Address - Street 2:SUITE A-100
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-4416
Practice Address - Country:US
Practice Address - Phone:520-777-3777
Practice Address - Fax:520-777-3220
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2011-02-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARE1703207W00000X
AZ35917207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR104269105Medicaid
AZ127689Medicaid
AZZ122689Medicare PIN
F44376Medicare UPIN
ARF44376Medicare UPIN
AZ127689Medicaid