Provider Demographics
NPI:1639137359
Name:GRAYBILL, DANIEL A (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:A
Last Name:GRAYBILL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:5055 E BROADWAY BLVD
Mailing Address - Street 2:STE A-100 ARIZONA COMMUNITY PHYSICIANS PC
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-3640
Mailing Address - Country:US
Mailing Address - Phone:520-327-0460
Mailing Address - Fax:520-795-0225
Practice Address - Street 1:3190 N SWAN RD
Practice Address - Street 2:CAMP LOWELL MEDICAL SPECIALISTS
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712
Practice Address - Country:US
Practice Address - Phone:520-547-9700
Practice Address - Fax:521-547-9716
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2020-03-02
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Provider Licenses
StateLicense IDTaxonomies
AZ27082207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F77397Medicare UPIN