MEDICARE: DARROCH AYLWARD MD

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	00032403	WA

General Provider Information

NPI Number	:	1760369474
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARROCH AYLWARD MD

Provider Business Mailing Address
First Line	:	#207, 10134- 97 AVE
Second Line	:
City	:	GRANDE PRAIRIE
State	:	AB
Zip	:	T8V7X6
Country	:	CA
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	#207, 10134- 97 AVE
Second Line	:
City	:	GRANDE PRAIRIE
State	:	AB
Zip	:	T8V7X6
Country	:	CA
Telephone Number	:	780-882-7797
Fax Number	:

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

Provider Enumeration Date	:	08/18/2025
Last Update Date	:	08/18/2025

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Directions to “ DARROCH AYLWARD MD” Practice Location

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