MEDICARE: DAVID JOSEPH BYRON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	133014	CA
2	207Q00000X	Family Medicine Physician	48025	AZ

General Provider Information

NPI Number	:	1831400597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID JOSEPH BYRON M.D.

Provider Business Mailing Address
First Line	:	5388 N GENEMATAS DR
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-5208
Country	:	US
Telephone Number	:	347-414-0318
Fax Number	:

Provider Business Practice Location Address
First Line	:	1601 N TUCSON BLVD STE 15
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85716-3406
Country	:	US
Telephone Number	:	520-488-4808
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2010
Last Update Date	:	02/28/2025

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